Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.42 / $531.96 / $1,073.56	Facility		$261.42	$531.96	$1,073.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.42 / $296.27 / $296.27	Professional		$261.42	$296.27	$296.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.56 / $348.56 / $1,713.17	Facility		$348.56	$348.56	$1,713.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.99 / $142.99 / $228.51	Professional		$142.99	$142.99	$228.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $313.70 / $507.61 / $1,053.54	Professional		$313.70	$507.61	$1,053.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.56 / $689.14 / $1,663.87	Facility		$226.56	$689.14	$1,663.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.61 / $215.36 / $618.08	Professional		$172.61	$215.36	$618.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.56 / $418.27 / $515.87	Professional		$348.56	$418.27	$515.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $314.06 / $437.25 / $599.52	Facility		$314.06	$437.25	$599.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $349.00 / $497.00 / $823.06	Professional		$349.00	$497.00	$823.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $290.70 / $418.97 / $9,929.00	Facility		$290.70	$418.97	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $303.25 / $418.97 / $9,929.00	Professional		$303.25	$418.97	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $348.56 / $348.56 / $592.55	Facility		$348.56	$348.56	$592.55
United Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $181.25 / $454.30	Professional		$146.40	$181.25	$454.30