Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.01 / $449.31 / $745.93	Facility		$226.01	$449.31	$745.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.01 / $247.11 / $256.14	Professional		$226.01	$247.11	$256.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,144.53 / $1,467.57 / $1,853.30	Facility		$1,144.53	$1,467.57	$1,853.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $120.54 / $195.87	Professional		$120.54	$120.54	$195.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $241.08 / $277.24 / $540.62	Professional		$241.08	$277.24	$540.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.88 / $664.04 / $1,543.27	Facility		$195.88	$664.04	$1,543.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.30 / $367.30 / $440.06	Professional		$367.30	$367.30	$440.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $361.62 / $446.00	Professional		$301.35	$361.62	$446.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $239.57 / $301.35 / $512.29	Facility		$239.57	$301.35	$512.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $413.00 / $527.36 / $723.24	Professional		$413.00	$527.36	$723.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $210.95 / $342.63 / $559.49	Facility		$210.95	$342.63	$559.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $210.95 / $342.63 / $559.49	Professional		$210.95	$342.63	$559.49
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $156.69 / $346.55	Professional		$126.57	$156.69	$346.55