Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $403.20 / $728.83	Facility		$163.19	$403.20	$728.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $163.19 / $163.19	Professional		$153.60	$163.19	$163.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $729.22 / $935.04 / $1,180.80	Facility		$729.22	$935.04	$1,180.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $33.47 / $56.79	Professional		$33.47	$33.47	$56.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $176.64 / $186.01 / $344.45	Professional		$176.64	$186.01	$344.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.60 / $846.65 / $1,967.62	Facility		$249.60	$846.65	$1,967.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.55 / $467.55 / $560.17	Professional		$467.55	$467.55	$560.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $460.80 / $568.32	Professional		$384.00	$460.80	$568.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.99 / $298.66 / $394.56	Facility		$172.99	$298.66	$394.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $576.00 / $921.60	Professional		$263.00	$576.00	$921.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $136.32 / $220.80 / $468.86	Facility		$136.32	$220.80	$468.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $220.80 / $468.86	Professional		$136.32	$220.80	$468.86
United Facility/Professional Facility Modifier Low / Median / High Price $161.28 / $161.28 / $161.28	Facility		$161.28	$161.28	$161.28
United Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $99.84 / $220.80	Professional		$80.64	$99.84	$220.80