Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.61 / $198.48 / $563.92	Facility		$168.61	$198.48	$563.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.74 / $198.48 / $198.70	Professional		$160.74	$198.48	$198.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $516.94 / $653.14 / $852.91	Facility		$516.94	$653.14	$852.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $198.10 / $276.50	Professional		$154.22	$198.10	$276.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $239.61 / $416.80 / $618.41	Professional		$239.61	$416.80	$618.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.98 / $532.57 / $968.33	Facility		$356.98	$532.57	$968.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.68 / $249.86 / $421.20	Professional		$135.68	$249.86	$421.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.13 / $230.14 / $238.46	Professional		$166.13	$230.14	$238.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $178.73 / $258.02 / $363.22	Facility		$178.73	$258.02	$363.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $260.00 / $360.40	Professional		$45.00	$260.00	$360.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $40.92 / $202.41 / $451.64	Facility		$40.92	$202.41	$451.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $225.29 / $487.12	Professional		$43.08	$225.29	$487.12
United Facility/Professional Professional Modifier Low / Median / High Price $161.12 / $288.29 / $449.03	Professional		$161.12	$288.29	$449.03