Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $371.54 / $416.87	Facility		$128.82	$371.54	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $229.09	Professional		$128.82	$151.36	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,258.93	Facility		$794.33	$1,047.13	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $23.44	Professional		$13.18	$13.18	$23.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $162.18 / $181.97	Professional		$154.88	$162.18	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $389.05 / $1,023.29	Facility		$204.17	$389.05	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $288.40	Professional		$245.47	$245.47	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $218.78 / $281.84	Professional		$199.53	$218.78	$281.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $194.98 / $281.84	Facility		$134.90	$194.98	$281.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $416.87	Professional		$128.82	$128.82	$416.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $229.09 / $416.87	Facility		$147.91	$229.09	$416.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $416.87	Professional		$141.25	$239.88	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $199.53 / $239.88	Facility		$120.23	$199.53	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $229.09	Professional		$83.18	$100.00	$229.09