Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.70 / $93.70 / $1,086.76	Facility		$93.70	$93.70	$1,086.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.70 / $93.70 / $1,174.83	Professional		$93.70	$93.70	$1,174.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,608.14 / $1,608.14 / $1,707.84	Facility		$1,608.14	$1,608.14	$1,707.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $83.47 / $111.14	Professional		$83.47	$83.47	$111.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $844.88 / $844.88 / $844.88	Professional		$844.88	$844.88	$844.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $102.00 / $120.96	Professional		$102.00	$102.00	$120.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,206.10 / $1,447.33 / $1,929.77	Professional		$1,206.10	$1,447.33	$1,929.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.70 / $1,078.31 / $1,608.14	Facility		$93.70	$1,078.31	$1,608.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $2,295.98 / $2,678.64	Professional		$128.34	$2,295.98	$2,678.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $112.44 / $131.18 / $1,608.14	Facility		$112.44	$131.18	$1,608.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $112.44 / $131.18 / $1,608.14	Professional		$112.44	$131.18	$1,608.14
United Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $75.63 / $124.93	Professional		$69.12	$75.63	$124.93