Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.53 / $551.30 / $936.88	Facility		$370.53	$551.30	$936.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.38 / $186.38 / $198.81	Professional		$186.38	$186.38	$198.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $943.84 / $1,210.24 / $1,528.34	Facility		$943.84	$1,210.24	$1,528.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $66.20 / $105.79	Professional		$66.20	$66.20	$105.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $198.81 / $198.81 / $387.68	Professional		$198.81	$198.81	$387.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.53 / $464.36 / $1,273.18	Facility		$161.53	$464.36	$1,273.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.51 / $302.51 / $362.44	Professional		$302.51	$302.51	$362.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $298.20 / $367.79	Professional		$248.51	$298.20	$367.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $197.56 / $248.51 / $386.55	Facility		$197.56	$248.51	$386.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $293.00 / $492.05 / $596.41	Professional		$293.00	$492.05	$596.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $223.66 / $398.61	Facility		$63.50	$223.66	$398.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $248.51 / $398.61	Professional		$63.50	$248.51	$398.61
United Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $129.22 / $323.06	Professional		$104.37	$129.22	$323.06