Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $724.44	Facility		$309.03	$309.03	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $467.74	Professional		$251.19	$309.03	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,548.82	Facility		$1,096.48	$1,288.25	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $602.56	Professional		$269.15	$398.11	$602.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $380.19 / $524.81	Professional		$43.65	$380.19	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $977.24 / $2,238.72	Facility		$660.69	$977.24	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $371.54 / $660.69	Professional		$154.88	$371.54	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $426.58	Professional		$295.12	$407.38	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $446.68	Professional		$186.21	$288.40	$446.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $436.52 / $616.60	Facility		$275.42	$436.52	$616.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $323.59 / $794.33	Facility		$33.88	$323.59	$794.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $363.08 / $1,174.90	Professional		$36.31	$363.08	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $173.78 / $2,511.89	Facility		$37.15	$173.78	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $416.87 / $724.44	Professional		$194.98	$416.87	$724.44