Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.25 / $628.24 / $1,184.98	Facility		$248.25	$628.24	$1,184.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.25 / $271.42 / $281.35	Professional		$248.25	$271.42	$281.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.00 / $331.00 / $1,626.87	Facility		$331.00	$331.00	$1,626.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.40 / $132.40 / $215.15	Professional		$132.40	$132.40	$215.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $167.56 / $264.80 / $344.35	Professional		$167.56	$264.80	$344.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.15 / $618.49 / $1,500.78	Facility		$215.15	$618.49	$1,500.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.79 / $200.96 / $546.46	Professional		$146.79	$200.96	$546.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $397.20 / $489.88	Professional		$331.00	$397.20	$489.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.88 / $329.18 / $562.70	Facility		$175.88	$329.18	$562.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $347.55 / $781.39	Professional		$320.00	$347.55	$781.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $231.70 / $370.72 / $9,929.00	Facility		$231.70	$370.72	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $231.70 / $370.72 / $9,929.00	Professional		$231.70	$370.72	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $397.20 / $397.20 / $397.20	Facility		$397.20	$397.20	$397.20
United Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $155.81 / $297.92	Professional		$108.81	$155.81	$297.92