Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.95 / $219.95 / $623.84	Facility		$219.95	$219.95	$623.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.50 / $219.95 / $224.21	Professional		$205.50	$219.95	$224.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $683.74 / $863.89 / $1,128.11	Facility		$683.74	$863.89	$1,128.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.77 / $259.77 / $365.98	Professional		$198.77	$259.77	$365.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $278.44 / $517.94 / $768.47	Professional		$278.44	$517.94	$768.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.63 / $641.86 / $1,111.23	Facility		$490.63	$641.86	$1,111.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.52 / $308.32 / $479.00	Professional		$185.52	$308.32	$479.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.35 / $305.45 / $314.49	Professional		$219.35	$305.45	$314.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $219.95 / $318.91 / $432.73	Facility		$219.95	$318.91	$432.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $298.08 / $444.00	Professional		$44.00	$298.08	$444.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.49 / $245.34 / $510.07	Facility		$38.49	$245.34	$510.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $264.18 / $598.91	Professional		$40.64	$264.18	$598.91
United Facility/Professional Facility Modifier Low / Median / High Price $194.50 / $866.23 / $866.23	Facility		$194.50	$866.23	$866.23
United Facility/Professional Professional Modifier Low / Median / High Price $196.25 / $318.89 / $499.64	Professional		$196.25	$318.89	$499.64