Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $524.81 / $977.24	Facility		$186.21	$524.81	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $234.42	Professional		$165.96	$194.98	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,548.82	Facility		$1,000.00	$1,288.25	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $117.49	Professional		$66.07	$66.07	$117.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $204.17 / $223.87	Professional		$190.55	$204.17	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $489.78 / $1,258.93	Facility		$251.19	$489.78	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $363.08	Professional		$302.00	$302.00	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $275.42 / $346.74	Professional		$251.19	$275.42	$346.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $239.88 / $389.05	Facility		$186.21	$239.88	$389.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $524.81	Professional		$162.18	$162.18	$524.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $251.19 / $478.63	Facility		$67.61	$251.19	$478.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $251.19 / $478.63	Professional		$67.61	$251.19	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $251.19 / $295.12	Facility		$147.91	$251.19	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $288.40	Professional		$104.71	$123.03	$288.40