Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $347.76 / $518.10	Facility		$30.00	$347.76	$518.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $480.24	Professional		$30.00	$40.00	$480.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $320.00 / $400.03	Professional		$320.00	$320.00	$400.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $207.50 / $207.50 / $392.17	Professional		$207.50	$207.50	$392.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $355.00 / $455.00	Professional		$260.00	$355.00	$455.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $355.00 / $423.25	Professional		$5.00	$355.00	$423.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,393.10 / $2,490.00 / $3,184.32	Facility		$2,393.10	$2,490.00	$3,184.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $111.68 / $125.00 / $385.00	Professional		$111.68	$125.00	$385.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $83.52 / $203.40	Facility		$64.00	$83.52	$203.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $83.52 / $203.40	Professional		$64.00	$83.52	$203.40
United Facility/Professional Professional Modifier Low / Median / High Price $478.00 / $478.00 / $478.00	Professional		$478.00	$478.00	$478.00