Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.43 / $459.13 / $866.00	Facility		$181.43	$459.13	$866.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.43 / $198.36 / $228.45	Professional		$181.43	$198.36	$228.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $241.90 / $1,188.94	Facility		$241.90	$241.90	$1,188.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.46 / $119.46 / $190.90	Professional		$119.46	$119.46	$190.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $266.08 / $518.88	Professional		$241.90	$266.08	$518.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.24 / $452.02 / $1,239.64	Facility		$157.24	$452.02	$1,239.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.01 / $149.49 / $454.31	Professional		$123.01	$149.49	$454.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $290.27 / $358.01	Professional		$241.90	$290.27	$358.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $201.39 / $309.08 / $456.90	Facility		$201.39	$309.08	$456.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $418.00 / $580.55	Professional		$242.00	$418.00	$580.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $217.71 / $294.62 / $4,071.00	Facility		$217.71	$294.62	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $220.08 / $294.62 / $4,071.00	Professional		$220.08	$294.62	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $137.88 / $298.64	Professional		$101.60	$137.88	$298.64