Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.42 / $621.16 / $984.98	Facility		$251.42	$621.16	$984.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.84 / $251.42 / $251.42	Professional		$221.84	$251.42	$251.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.79 / $295.79 / $1,453.81	Facility		$295.79	$295.79	$1,453.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.32 / $118.32 / $192.26	Professional		$118.32	$118.32	$192.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $236.63 / $236.63 / $461.43	Professional		$236.63	$236.63	$461.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.26 / $552.70 / $1,514.75	Facility		$192.26	$552.70	$1,514.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.63 / $179.57 / $488.29	Professional		$139.63	$179.57	$488.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.79 / $354.95 / $437.77	Professional		$295.79	$354.95	$437.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $246.24 / $354.94 / $502.84	Facility		$246.24	$354.94	$502.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.79 / $414.00 / $709.90	Professional		$295.79	$414.00	$709.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $241.98 / $331.28 / $4,071.00	Facility		$241.98	$331.28	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $241.98 / $331.28 / $4,071.00	Professional		$241.98	$331.28	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $153.81 / $340.16	Professional		$124.23	$153.81	$340.16