Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.30 / $641.01 / $1,209.07	Facility		$253.30	$641.01	$1,209.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.30 / $276.94 / $287.07	Professional		$253.30	$276.94	$287.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.73 / $337.73 / $1,659.94	Facility		$337.73	$337.73	$1,659.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.09 / $135.09 / $215.88	Professional		$135.09	$135.09	$215.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $167.56 / $270.18 / $344.35	Professional		$167.56	$270.18	$344.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.52 / $575.27 / $1,530.47	Facility		$219.52	$575.27	$1,530.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $204.54 / $557.65	Professional		$77.77	$204.54	$557.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $405.28 / $499.84	Professional		$337.73	$405.28	$499.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.06 / $287.07 / $525.34	Facility		$175.06	$287.07	$525.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $351.20 / $797.90	Professional		$160.00	$351.20	$797.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $158.13 / $378.26 / $9,929.00	Facility		$158.13	$378.26	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $378.26 / $9,929.00	Professional		$158.13	$378.26	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $148.60 / $219.52	Professional		$54.40	$148.60	$219.52