Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $245.47 / $245.47	Facility		$123.03	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $245.47 / $245.47	Professional		$114.82	$245.47	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $776.25 / $933.25	Facility		$602.56	$776.25	$933.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $208.93	Professional		$125.89	$125.89	$208.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $218.78 / $338.84	Professional		$77.62	$218.78	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $181.97 / $478.63	Facility		$34.67	$181.97	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $91.20	Professional		$83.18	$83.18	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $309.03 / $309.03	Professional		$100.00	$309.03	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $245.47 / $302.00	Facility		$123.03	$245.47	$302.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $10,000.00 / $10,964.78	Facility		$100.00	$10,000.00	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $10,000.00 / $10,964.78	Professional		$100.00	$10,000.00	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $151.36 / $794.33	Facility		$30.90	$151.36	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $134.90	Professional		$53.70	$53.70	$134.90