Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.12 / $409.77 / $680.30	Facility		$206.12	$409.77	$680.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.12 / $225.36 / $233.61	Professional		$206.12	$225.36	$233.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,043.80 / $1,338.42 / $1,690.20	Facility		$1,043.80	$1,338.42	$1,690.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $395.09	Professional		$274.83	$274.83	$395.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $219.86 / $247.35 / $482.33	Professional		$219.86	$247.35	$482.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.64 / $511.51 / $1,407.36	Facility		$178.64	$511.51	$1,407.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.90 / $334.90 / $401.25	Professional		$334.90	$334.90	$401.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $329.80 / $406.75	Professional		$274.83	$329.80	$406.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.49 / $274.83 / $467.22	Facility		$218.49	$274.83	$467.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $408.12 / $480.95 / $659.59	Professional		$408.12	$480.95	$659.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $192.38 / $305.01 / $510.25	Facility		$192.38	$305.01	$510.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $312.48 / $510.25	Professional		$192.38	$312.48	$510.25
United Facility/Professional Facility Modifier Low / Median / High Price $115.43 / $115.43 / $115.43	Facility		$115.43	$115.43	$115.43
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $137.41 / $316.05	Professional		$115.43	$137.41	$316.05