Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $524.81 / $776.25	Facility		$204.17	$524.81	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $316.23	Professional		$204.17	$234.42	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,698.24	Facility		$1,096.48	$1,445.44	$1,698.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $112.20	Professional		$63.10	$63.10	$112.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $223.87 / $251.19	Professional		$213.80	$223.87	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $537.03 / $1,412.54	Facility		$281.84	$537.03	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $398.11	Professional		$338.84	$338.84	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $389.05	Professional		$275.42	$302.00	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $269.15 / $446.68	Facility		$218.78	$269.15	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $575.44	Professional		$177.83	$177.83	$575.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $316.23 / $562.34	Facility		$190.55	$316.23	$562.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $562.34	Professional		$190.55	$323.59	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $275.42 / $331.13	Facility		$165.96	$275.42	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $316.23	Professional		$114.82	$138.04	$316.23