Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $707.95 / $933.25	Facility		$281.84	$707.95	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $426.58	Professional		$251.19	$295.12	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,344.23	Facility		$1,513.56	$1,949.84	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $234.42	Professional		$131.83	$131.83	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $302.00 / $338.84	Professional		$288.40	$302.00	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $724.44 / $1,905.46	Facility		$380.19	$724.44	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $549.54	Professional		$457.09	$457.09	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $524.81	Professional		$371.54	$416.87	$524.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $363.08 / $588.84	Facility		$281.84	$363.08	$588.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $794.33	Professional		$245.47	$245.47	$794.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $426.58 / $776.25	Facility		$263.03	$426.58	$776.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $776.25	Professional		$263.03	$436.52	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $371.54 / $446.68	Facility		$223.87	$371.54	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $436.52	Professional		$158.49	$186.21	$436.52