Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.36 / $184.59 / $524.16	Facility		$182.36	$184.59	$524.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.25 / $184.59 / $226.82	Professional		$173.25	$184.59	$226.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $556.36 / $702.94 / $917.94	Facility		$556.36	$702.94	$917.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.55 / $212.56 / $298.60	Professional		$166.55	$212.56	$298.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $505.01 / $749.30	Professional		$260.00	$505.01	$749.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.19 / $620.40 / $1,060.81	Facility		$397.19	$620.40	$1,060.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.01 / $272.76 / $455.55	Professional		$146.01	$272.76	$455.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.62 / $248.04 / $256.31	Professional		$178.62	$248.04	$256.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $184.59 / $269.62 / $372.70	Facility		$184.59	$269.62	$372.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $300.00 / $412.00	Professional		$43.00	$300.00	$412.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $218.60 / $434.37	Facility		$35.65	$218.60	$434.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $240.19 / $495.17	Professional		$37.19	$240.19	$495.17
United Facility/Professional Professional Modifier Low / Median / High Price $170.14 / $275.75 / $445.09	Professional		$170.14	$275.75	$445.09