Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.33 / $245.41 / $467.09	Facility		$154.33	$245.41	$467.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.46 / $190.61 / $245.41	Professional		$136.46	$190.61	$245.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.84 / $163.49 / $270.29	Professional		$127.84	$163.49	$270.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $121.11 / $121.11 / $1,757.00	Professional		$121.11	$121.11	$1,757.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.64 / $234.64 / $234.64	Facility		$234.64	$234.64	$234.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.85 / $232.76 / $400.07	Professional		$143.85	$232.76	$400.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.84 / $292.26 / $345.40	Professional		$225.84	$292.26	$345.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.01 / $242.36 / $390.02	Facility		$152.01	$242.36	$390.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $262.00 / $302.00 / $402.00	Professional		$262.00	$302.00	$402.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $127.68 / $174.60 / $805.00	Facility		$127.68	$174.60	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $196.36 / $278.18 / $819.00	Professional		$196.36	$278.18	$819.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.34 / $251.68 / $412.13	Professional		$155.34	$251.68	$412.13