Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.45 / $309.06 / $874.14	Facility		$307.45	$309.06	$874.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.86 / $307.45 / $309.06	Professional		$281.86	$307.45	$309.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $929.04 / $1,173.81 / $1,532.84	Facility		$929.04	$1,173.81	$1,532.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.16 / $354.27 / $499.11	Professional		$269.16	$354.27	$499.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $336.86 / $379.98 / $499.81	Professional		$336.86	$379.98	$499.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.94 / $925.77 / $2,238.54	Facility		$705.94	$925.77	$2,238.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.30 / $393.87 / $735.23	Professional		$156.30	$393.87	$735.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $297.56 / $415.92 / $426.43	Professional		$297.56	$415.92	$426.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $221.01 / $399.35 / $565.58	Facility		$221.01	$399.35	$565.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $403.00 / $625.00	Professional		$40.00	$403.00	$625.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $34.39 / $328.79 / $690.17	Facility		$34.39	$328.79	$690.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $365.32 / $767.13	Professional		$36.29	$365.32	$767.13
United Facility/Professional Professional Modifier Low / Median / High Price $193.85 / $455.97 / $625.57	Professional		$193.85	$455.97	$625.57