Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $524.81 / $676.08	Facility		$204.17	$524.81	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $316.23	Professional		$181.97	$213.80	$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 $109.65 / $109.65 / $186.21	Professional		$109.65	$109.65	$186.21
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 $331.13 / $331.13 / $398.11	Professional		$331.13	$331.13	$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 $204.17 / $269.15 / $426.58	Facility		$204.17	$269.15	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $575.44	Professional		$128.82	$128.82	$575.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $316.23 / $562.34	Facility		$204.17	$316.23	$562.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $645.65	Professional		$194.98	$316.23	$645.65
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