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 / $215.29 / $251.92	Professional		$181.43	$215.29	$251.92
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 / $192.02	Professional		$119.46	$119.46	$192.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $266.08 / $518.88 / $1,449.84	Professional		$266.08	$518.88	$1,449.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.24 / $533.40 / $1,239.64	Facility		$157.24	$533.40	$1,239.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.01 / $163.50 / $478.78	Professional		$123.01	$163.50	$478.78
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 $228.45 / $359.69 / $530.91	Facility		$228.45	$359.69	$530.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $415.00 / $571.51	Professional		$242.00	$415.00	$571.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $229.97 / $329.51 / $4,071.00	Facility		$229.97	$329.51	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $230.33 / $329.51 / $4,071.00	Professional		$230.33	$329.51	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $138.38 / $329.51	Professional		$101.60	$138.38	$329.51