Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $575.44 / $741.31	Facility		$223.87	$575.44	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $346.74	Professional		$199.53	$234.42	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,862.09	Facility		$1,202.26	$1,584.89	$1,862.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $208.93	Professional		$120.23	$120.23	$208.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $275.42	Professional		$234.42	$245.47	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $741.31 / $1,548.82	Facility		$309.03	$741.31	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $436.52	Professional		$371.54	$371.54	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $426.58	Professional		$302.00	$331.13	$426.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $295.12 / $467.74	Facility		$223.87	$295.12	$467.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $630.96	Professional		$194.98	$194.98	$630.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $346.74 / $616.60	Facility		$208.93	$346.74	$616.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $616.60	Professional		$208.93	$346.74	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $302.00 / $363.08	Facility		$181.97	$302.00	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $346.74	Professional		$125.89	$151.36	$346.74