Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.93 / $233.93 / $664.65	Facility		$233.93	$233.93	$664.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.57 / $233.93 / $238.49	Professional		$218.57	$233.93	$238.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $730.02 / $922.36 / $1,204.48	Facility		$730.02	$922.36	$1,204.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.23 / $277.70 / $391.85	Professional		$205.23	$277.70	$391.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $281.57 / $421.01 / $624.66	Professional		$281.57	$421.01	$624.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.63 / $662.45 / $1,113.78	Facility		$506.63	$662.45	$1,113.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.90 / $301.99 / $511.44	Professional		$185.90	$301.99	$511.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $325.67 / $336.23	Professional		$234.42	$325.67	$336.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $228.22 / $318.08 / $458.93	Facility		$228.22	$318.08	$458.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $302.00 / $472.00	Professional		$58.00	$302.00	$472.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.21 / $246.65 / $512.24	Facility		$50.21	$246.65	$512.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $268.52 / $606.54	Professional		$52.68	$268.52	$606.54
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 $206.99 / $313.26 / $531.90	Professional		$206.99	$313.26	$531.90