Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $524.81 / $616.60	Facility		$204.17	$524.81	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $316.23	Professional		$173.78	$208.93	$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 / $190.55	Professional		$109.65	$109.65	$190.55
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 / $398.11	Facility		$204.17	$269.15	$398.11
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 / $302.00 / $562.34	Facility		$190.55	$302.00	$562.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $562.34	Professional		$190.55	$309.03	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $275.42 / $331.13	Facility		$147.91	$275.42	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $281.84	Professional		$104.71	$123.03	$281.84