Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.22 / $612.98 / $1,156.20	Facility		$242.22	$612.98	$1,156.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.22 / $264.83 / $305.02	Professional		$242.22	$264.83	$305.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $322.95 / $1,587.35	Facility		$322.95	$322.95	$1,587.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $5.95 / $9.93	Professional		$5.95	$5.95	$9.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $258.37 / $258.37 / $503.82	Professional		$258.37	$258.37	$503.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.92 / $603.46 / $1,653.94	Facility		$209.92	$603.46	$1,653.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.93 / $393.13 / $471.01	Professional		$209.93	$393.13	$471.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $387.55 / $477.98	Professional		$322.95	$387.55	$477.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $268.86 / $394.74 / $644.85	Facility		$268.86	$394.74	$644.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $381.00 / $639.46 / $775.10	Professional		$381.00	$639.46	$775.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $226.07 / $322.95 / $518.03	Facility		$226.07	$322.95	$518.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $226.07 / $322.95 / $518.03	Professional		$226.07	$322.95	$518.03
United Facility/Professional Facility Modifier Low / Median / High Price $135.63 / $135.63 / $135.63	Facility		$135.63	$135.63	$135.63
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $184.09 / $412.68	Professional		$135.63	$184.09	$412.68