Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.90 / $276.13 / $458.42	Facility		$138.90	$276.13	$458.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.90 / $151.86 / $157.41	Professional		$138.90	$151.86	$157.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $703.39 / $901.92 / $1,138.98	Facility		$703.39	$901.92	$1,138.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $228.90 / $348.70	Professional		$228.90	$228.90	$348.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $166.68 / $325.02	Professional		$148.16	$166.68	$325.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $345.00 / $949.42	Facility		$120.38	$345.00	$949.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.89 / $225.89 / $270.64	Professional		$225.89	$225.89	$270.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $222.24 / $274.10	Professional		$185.20	$222.24	$274.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.22 / $185.20 / $314.83	Facility		$147.22	$185.20	$314.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $366.70 / $444.48	Professional		$254.00	$366.70	$444.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $205.53 / $343.84	Facility		$129.63	$205.53	$343.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $210.57 / $343.84	Professional		$129.63	$210.57	$343.84
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $92.60 / $199.65	Professional		$77.78	$92.60	$199.65