Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.14 / $559.00 / $1,054.38	Facility		$278.14	$559.00	$1,054.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.16 / $241.51 / $294.52	Professional		$206.16	$241.51	$294.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.52 / $294.52 / $1,447.57	Facility		$294.52	$294.52	$1,447.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $145.44 / $228.41	Professional		$145.44	$145.44	$228.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $323.97 / $476.64 / $989.25	Professional		$323.97	$476.64	$989.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.44 / $648.88 / $1,508.04	Facility		$191.44	$648.88	$1,508.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $197.27 / $582.89	Professional		$147.22	$197.27	$582.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.52 / $353.42 / $435.89	Professional		$294.52	$353.42	$435.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $282.74 / $352.93 / $556.29	Facility		$282.74	$352.93	$556.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.00 / $505.00 / $695.71	Professional		$295.00	$505.00	$695.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $268.33 / $356.49 / $9,929.00	Facility		$268.33	$356.49	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $356.69 / $9,929.00	Professional		$280.00	$356.69	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $168.75 / $401.79	Professional		$123.70	$168.75	$401.79