Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.62 / $184.04 / $515.04	Facility		$181.62	$184.04	$515.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.52 / $181.62 / $184.04	Professional		$168.52	$181.62	$184.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.79 / $711.08 / $928.58	Facility		$562.79	$711.08	$928.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.72 / $213.47 / $300.75	Professional		$163.72	$213.47	$300.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.31 / $412.76 / $612.41	Professional		$218.31	$412.76	$612.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.81 / $530.25 / $955.23	Facility		$405.81	$530.25	$955.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.47 / $251.06 / $428.58	Professional		$147.47	$251.06	$428.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.59 / $251.63 / $258.77	Professional		$180.59	$251.63	$258.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.62 / $262.08 / $355.20	Facility		$181.62	$262.08	$355.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $246.24 / $369.00	Professional		$36.00	$246.24	$369.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.83 / $202.67 / $442.99	Facility		$30.83	$202.67	$442.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $216.01 / $603.12	Professional		$31.99	$216.01	$603.12
United Facility/Professional Facility Modifier Low / Median / High Price $149.22 / $1,124.51 / $1,124.51	Facility		$149.22	$1,124.51	$1,124.51
United Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $245.00 / $412.57	Professional		$163.34	$245.00	$412.57