Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $584.58 / $1,102.64	Facility		$231.00	$584.58	$1,102.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $252.56 / $261.80	Professional		$231.00	$252.56	$261.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $308.00 / $1,513.82	Facility		$308.00	$308.00	$1,513.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.20 / $123.20 / $200.20	Professional		$123.20	$123.20	$200.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $167.56 / $246.40 / $344.35	Professional		$167.56	$246.40	$344.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.20 / $573.30 / $1,396.87	Facility		$200.20	$573.30	$1,396.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.94 / $186.98 / $508.43	Professional		$96.94	$186.98	$508.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $369.60 / $455.84	Professional		$308.00	$369.60	$455.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.88 / $277.20 / $479.09	Facility		$175.88	$277.20	$479.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $320.20 / $727.15	Professional		$199.00	$320.20	$727.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $196.84 / $344.96 / $9,929.00	Facility		$196.84	$344.96	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $196.84 / $344.96 / $9,929.00	Professional		$196.84	$344.96	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.72 / $135.52 / $238.64	Professional		$67.72	$135.52	$238.64