Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.15 / $585.90 / $929.07	Facility		$237.15	$585.90	$929.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $217.62 / $237.15	Professional		$139.50	$217.62	$237.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.00 / $279.00 / $1,371.29	Facility		$279.00	$279.00	$1,371.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $111.60 / $181.35	Professional		$111.60	$111.60	$181.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.20 / $301.18 / $616.62	Professional		$223.20	$301.18	$616.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $466.07 / $1,264.75	Facility		$13.14	$466.07	$1,264.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.63 / $169.29 / $496.77	Professional		$127.63	$169.29	$496.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $334.80 / $412.92	Professional		$279.00	$334.80	$412.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $221.81 / $306.89 / $474.30	Facility		$221.81	$306.89	$474.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $289.91 / $658.78	Professional		$174.00	$289.91	$658.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $195.30 / $331.26 / $9,929.00	Facility		$195.30	$331.26	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $195.30 / $335.36 / $9,929.00	Professional		$195.30	$335.36	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $122.76 / $205.32	Professional		$71.95	$122.76	$205.32