Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $426.58 / $724.44	Facility		$162.18	$426.58	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $363.08	Professional		$125.89	$177.83	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,202.26	Facility		$776.25	$1,000.00	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $58.88	Professional		$33.11	$33.11	$58.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $346.74	Professional		$295.12	$309.03	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $954.99 / $1,949.84	Facility		$389.05	$954.99	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $562.34	Professional		$467.74	$467.74	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $537.03	Professional		$380.19	$426.58	$537.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $302.00 / $512.86	Facility		$173.78	$302.00	$512.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $407.38	Professional		$125.89	$125.89	$407.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $229.09 / $524.81	Facility		$134.90	$229.09	$524.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $524.81	Professional		$134.90	$229.09	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $190.55 / $457.09	Facility		$114.82	$190.55	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $218.78	Professional		$81.28	$95.50	$218.78