Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.16 / $536.91 / $1,012.71	Facility		$212.16	$536.91	$1,012.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $231.96 / $240.45	Professional		$212.16	$231.96	$240.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $282.88 / $1,390.36	Facility		$282.88	$282.88	$1,390.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $113.15 / $183.87	Professional		$113.15	$113.15	$183.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $311.17 / $606.78	Professional		$282.88	$311.17	$606.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.87 / $528.58 / $1,449.30	Facility		$183.87	$528.58	$1,449.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.35 / $171.76 / $460.26	Professional		$133.35	$171.76	$460.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $339.46 / $418.66	Professional		$282.88	$339.46	$418.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $235.50 / $325.31 / $480.90	Facility		$235.50	$325.31	$480.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $278.00 / $388.00 / $678.91	Professional		$278.00	$388.00	$678.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $231.96 / $316.83 / $4,071.00	Facility		$231.96	$316.83	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $231.96 / $316.83 / $4,071.00	Professional		$231.96	$316.83	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $141.44 / $325.31	Professional		$118.81	$141.44	$325.31