Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.22 / $249.68 / $706.74	Facility		$246.22	$249.68	$706.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.34 / $249.68 / $299.82	Professional		$232.34	$249.68	$299.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $745.06 / $941.36 / $1,229.28	Facility		$745.06	$941.36	$1,229.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.38 / $284.26 / $400.47	Professional		$223.38	$284.26	$400.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $350.42 / $549.88 / $815.87	Professional		$350.42	$549.88	$815.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $563.66 / $861.07 / $2,238.54	Facility		$563.66	$861.07	$2,238.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.87 / $351.86 / $547.55	Professional		$195.87	$351.86	$547.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.76 / $333.12 / $342.34	Professional		$238.76	$333.12	$342.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $249.41 / $355.56 / $488.10	Facility		$249.41	$355.56	$488.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $412.70 / $571.00	Professional		$38.00	$412.70	$571.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.93 / $303.77 / $645.99	Facility		$31.93	$303.77	$645.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $333.90 / $713.96	Professional		$34.29	$333.90	$713.96
United Facility/Professional Professional Modifier Low / Median / High Price $221.22 / $338.63 / $567.15	Professional		$221.22	$338.63	$567.15