Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.52 / $553.00 / $1,043.07	Facility		$218.52	$553.00	$1,043.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.52 / $238.92 / $247.66	Professional		$218.52	$238.92	$247.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.36 / $291.36 / $1,432.03	Facility		$291.36	$291.36	$1,432.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.54 / $116.54 / $189.38	Professional		$116.54	$116.54	$189.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $233.09 / $233.09 / $454.53	Professional		$233.09	$233.09	$454.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.38 / $544.41 / $1,492.93	Facility		$189.38	$544.41	$1,492.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.26 / $176.90 / $473.75	Professional		$137.26	$176.90	$473.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $349.63 / $431.21	Professional		$291.36	$349.63	$431.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $242.56 / $335.06 / $495.32	Facility		$242.56	$335.06	$495.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $287.00 / $399.00 / $699.26	Professional		$287.00	$399.00	$699.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $238.92 / $326.32 / $4,071.00	Facility		$238.92	$326.32	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $238.92 / $326.32 / $4,071.00	Professional		$238.92	$326.32	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $122.37 / $122.37 / $122.37	Facility		$122.37	$122.37	$122.37
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $151.51 / $335.06	Professional		$122.37	$151.51	$335.06