Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.61 / $578.53 / $1,091.22	Facility		$228.61	$578.53	$1,091.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.61 / $249.94 / $259.08	Professional		$228.61	$249.94	$259.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.81 / $304.81 / $1,498.14	Facility		$304.81	$304.81	$1,498.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $121.92 / $198.12	Professional		$121.92	$121.92	$198.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $243.85 / $243.85 / $475.51	Professional		$243.85	$243.85	$475.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.13 / $644.60 / $1,382.02	Facility		$198.13	$644.60	$1,382.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.31 / $184.92 / $502.83	Professional		$150.31	$184.92	$502.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.81 / $365.77 / $451.12	Professional		$304.81	$365.77	$451.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $253.76 / $350.53 / $518.17	Facility		$253.76	$350.53	$518.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $304.81 / $427.00 / $731.54	Professional		$304.81	$427.00	$731.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $254.37 / $366.38 / $9,929.00	Facility		$254.37	$366.38	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $265.18 / $366.38 / $9,929.00	Professional		$265.18	$366.38	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $274.33 / $304.81 / $457.22	Facility		$274.33	$304.81	$457.22
United Facility/Professional Professional Modifier Low / Median / High Price $128.02 / $158.50 / $396.25	Professional		$128.02	$158.50	$396.25