Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.08 / $282.67 / $802.59	Facility		$282.08	$282.67	$802.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.33 / $282.67 / $282.67	Professional		$258.33	$282.67	$282.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $862.40 / $1,089.60 / $1,422.88	Facility		$862.40	$1,089.60	$1,422.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.22 / $329.78 / $466.24	Professional		$253.22	$329.78	$466.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $229.04 / $535.59 / $794.66	Professional		$229.04	$535.59	$794.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.96 / $807.49 / $1,355.80	Facility		$575.96	$807.49	$1,355.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.34 / $393.19 / $702.34	Professional		$221.34	$393.19	$702.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $276.80 / $384.73 / $397.10	Professional		$276.80	$384.73	$397.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.76 / $397.77 / $544.41	Facility		$269.76	$397.77	$544.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $412.30 / $572.00	Professional		$65.00	$412.30	$572.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $56.29 / $278.56 / $618.66	Facility		$56.29	$278.56	$618.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $322.23 / $695.89	Professional		$57.97	$322.23	$695.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,967.01 / $3,002.90 / $3,002.90	Facility		$1,967.01	$3,002.90	$3,002.90
United Facility/Professional Professional Modifier Low / Median / High Price $252.42 / $391.97 / $636.16	Professional		$252.42	$391.97	$636.16