Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.08 / $691.97 / $1,097.26	Facility		$280.08	$691.97	$1,097.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.13 / $270.20 / $280.08	Professional		$247.13	$270.20	$280.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $329.51 / $1,619.54	Facility		$329.51	$329.51	$1,619.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $131.80 / $214.18	Professional		$131.80	$131.80	$214.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $263.61 / $514.04 / $1,449.84	Professional		$263.61	$514.04	$1,449.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.18 / $615.71 / $1,493.36	Facility		$214.18	$615.71	$1,493.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.28 / $199.94 / $534.27	Professional		$156.28	$199.94	$534.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $395.41 / $487.67	Professional		$329.51	$395.41	$487.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $280.08 / $395.41 / $566.76	Facility		$280.08	$395.41	$566.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $415.00 / $778.25	Professional		$330.00	$415.00	$778.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $270.20 / $369.05 / $4,071.00	Facility		$270.20	$369.05	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $270.20 / $369.05 / $4,071.00	Professional		$270.20	$369.05	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $171.35 / $378.94	Professional		$138.38	$171.35	$378.94