Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.34 / $199.06 / $564.16	Facility		$198.34	$199.06	$564.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.86 / $199.06 / $201.04	Professional		$182.86	$199.06	$201.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $642.17 / $811.37 / $1,059.54	Facility		$642.17	$811.37	$1,059.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.20 / $240.56 / $340.10	Professional		$177.20	$240.56	$340.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $260.79 / $315.48 / $426.44	Professional		$260.79	$315.48	$426.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.73 / $576.85 / $1,162.53	Facility		$464.73	$576.85	$1,162.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.86 / $254.07 / $424.76	Professional		$132.86	$254.07	$424.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.90 / $287.06 / $295.19	Professional		$205.90	$287.06	$295.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $188.81 / $272.57 / $364.28	Facility		$188.81	$272.57	$364.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $269.00 / $402.00	Professional		$37.00	$269.00	$402.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $32.06 / $215.78 / $444.51	Facility		$32.06	$215.78	$444.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $236.14 / $489.81	Professional		$33.47	$236.14	$489.81
United Facility/Professional Facility Modifier Low / Median / High Price $263.19 / $866.23 / $866.23	Facility		$263.19	$866.23	$866.23
United Facility/Professional Professional Modifier Low / Median / High Price $151.59 / $266.47 / $452.44	Professional		$151.59	$266.47	$452.44