Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.30 / $642.84 / $4,509.78	Facility		$246.30	$642.84	$4,509.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.59 / $232.10 / $321.95	Professional		$195.59	$232.10	$321.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.79 / $260.79 / $1,281.78	Facility		$260.79	$260.79	$1,281.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.78 / $128.78 / $202.24	Professional		$128.78	$128.78	$202.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $286.87 / $559.40 / $1,419.70	Professional		$286.87	$559.40	$1,419.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.51 / $574.54 / $1,335.25	Facility		$169.51	$574.54	$1,335.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.36 / $174.57 / $516.04	Professional		$130.36	$174.57	$516.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.79 / $312.95 / $385.97	Professional		$260.79	$312.95	$385.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $246.30 / $405.31 / $520.70	Facility		$246.30	$405.31	$520.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $261.00 / $447.00 / $625.90	Professional		$261.00	$447.00	$625.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $237.60 / $313.47 / $9,929.00	Facility		$237.60	$313.47	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $247.93 / $313.47 / $9,929.00	Professional		$247.93	$313.47	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $156.47 / $355.78	Professional		$109.53	$156.47	$355.78