Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.16 / $421.77 / $700.21	Facility		$212.16	$421.77	$700.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $231.96 / $240.45	Professional		$212.16	$231.96	$240.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,074.38 / $1,377.63 / $1,739.71	Facility		$1,074.38	$1,377.63	$1,739.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $335.33 / $482.07	Professional		$335.33	$335.33	$482.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $226.30 / $254.59 / $496.45	Professional		$226.30	$254.59	$496.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.87 / $526.64 / $1,449.30	Facility		$183.87	$526.64	$1,449.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.97 / $344.97 / $413.31	Professional		$344.97	$344.97	$413.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $339.46 / $418.66	Professional		$282.88	$339.46	$418.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $224.89 / $282.88 / $480.90	Facility		$224.89	$282.88	$480.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $388.00 / $560.10 / $678.91	Professional		$388.00	$560.10	$678.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $231.96 / $325.31 / $523.33	Facility		$231.96	$325.31	$523.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $201.69 / $321.63 / $534.64	Professional		$201.69	$321.63	$534.64
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $147.10 / $325.31	Professional		$118.81	$147.10	$325.31