Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.30 / $776.75 / $1,079.64	Facility		$247.30	$776.75	$1,079.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.47 / $235.59 / $410.44	Professional		$210.47	$235.59	$410.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.81 / $255.86 / $378.28	Professional		$199.81	$255.86	$378.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $239.14 / $295.20 / $365.95	Professional		$239.14	$295.20	$365.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.64 / $639.13 / $1,187.27	Facility		$237.64	$639.13	$1,187.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.15 / $332.27 / $669.81	Professional		$169.15	$332.27	$669.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.83 / $306.94 / $314.93	Professional		$219.83	$306.94	$314.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.62 / $291.74 / $414.64	Facility		$151.62	$291.74	$414.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $277.00 / $337.00 / $541.27	Professional		$277.00	$337.00	$541.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $110.35 / $349.95 / $841.00	Facility		$110.35	$349.95	$841.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $110.35 / $356.73 / $859.79	Professional		$110.35	$356.73	$859.79
United Facility/Professional Professional Modifier Low / Median / High Price $122.65 / $313.69 / $535.14	Professional		$122.65	$313.69	$535.14