Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.38 / $221.43 / $644.83	Facility		$195.38	$221.43	$644.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $213.61 / $221.43	Professional		$195.38	$213.61	$221.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.38 / $1,268.64 / $1,602.08	Facility		$989.38	$1,268.64	$1,602.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $57.05 / $95.23	Professional		$57.05	$57.05	$95.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $208.40 / $208.40 / $406.38	Professional		$208.40	$208.40	$406.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.33 / $574.54 / $1,335.25	Facility		$169.33	$574.54	$1,335.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.39 / $317.39 / $380.27	Professional		$317.39	$317.39	$380.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $312.60 / $385.54	Professional		$260.50	$312.60	$385.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $195.38 / $260.50 / $442.86	Facility		$195.38	$260.50	$442.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $169.33 / $169.33	Professional		$169.33	$169.33	$169.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $194.59 / $299.58 / $483.64	Facility		$194.59	$299.58	$483.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $194.59 / $299.58 / $483.64	Professional		$194.59	$299.58	$483.64
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $135.46 / $299.58	Professional		$109.41	$135.46	$299.58