Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.74 / $204.74 / $581.16	Facility		$204.74	$204.74	$581.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $204.74 / $210.10	Professional		$192.38	$204.74	$210.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $641.51 / $810.53 / $1,058.44	Facility		$641.51	$810.53	$1,058.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.61 / $242.95 / $342.80	Professional		$178.61	$242.95	$342.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $241.80 / $345.70 / $512.91	Professional		$241.80	$345.70	$512.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.25 / $596.35 / $1,060.27	Facility		$455.25	$596.35	$1,060.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $262.06 / $448.01	Professional		$155.19	$262.06	$448.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.87 / $286.52 / $295.17	Professional		$205.87	$286.52	$295.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $203.83 / $276.06 / $389.73	Facility		$203.83	$276.06	$389.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $262.00 / $404.00	Professional		$43.00	$262.00	$404.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $216.57 / $503.29	Facility		$38.47	$216.57	$503.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $238.05 / $579.85	Professional		$40.54	$238.05	$579.85
United Facility/Professional Professional Modifier Low / Median / High Price $175.17 / $275.92 / $513.12	Professional		$175.17	$275.92	$513.12