Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.44 / $522.61 / $847.44	Facility		$245.44	$522.61	$847.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.51 / $245.44 / $245.44	Professional		$206.51	$245.44	$245.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,045.78 / $1,340.95 / $1,693.40	Facility		$1,045.78	$1,340.95	$1,693.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $63.35 / $105.75	Professional		$63.35	$63.35	$105.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $220.28 / $220.28 / $429.55	Professional		$220.28	$220.28	$429.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.98 / $512.77 / $1,410.74	Facility		$178.98	$512.77	$1,410.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.34 / $335.34 / $401.77	Professional		$335.34	$335.34	$401.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.35 / $330.42 / $407.52	Professional		$275.35	$330.42	$407.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.90 / $275.35 / $490.88	Facility		$218.90	$275.35	$490.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $377.00 / $545.19 / $660.84	Professional		$377.00	$545.19	$660.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $192.75 / $313.07 / $511.21	Facility		$192.75	$313.07	$511.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $192.75 / $313.07 / $509.40	Professional		$192.75	$313.07	$509.40
United Facility/Professional Professional Modifier Low / Median / High Price $115.65 / $137.68 / $316.64	Professional		$115.65	$137.68	$316.64