Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $275.42 / $660.69	Facility		$173.78	$275.42	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $363.08	Professional		$144.54	$181.97	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $457.09	Professional		$177.83	$257.04	$457.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $309.03 / $467.74	Professional		$89.13	$309.03	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $831.76 / $1,348.96	Facility		$457.09	$831.76	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $478.63	Professional		$134.90	$239.88	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $457.09	Professional		$316.23	$416.87	$457.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $213.80 / $269.15	Professional		$123.03	$213.80	$269.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $281.84 / $416.87	Facility		$134.90	$281.84	$416.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $288.40 / $4,073.80	Facility		$95.50	$288.40	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $281.84 / $4,073.80	Professional		$95.50	$281.84	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $213.80 / $2,398.83	Facility		$48.98	$213.80	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $229.09 / $371.54	Professional		$120.23	$229.09	$371.54