Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.12 / $521.63 / $983.89	Facility		$206.12	$521.63	$983.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.12 / $225.36 / $233.61	Professional		$206.12	$225.36	$233.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $274.83 / $1,350.79	Facility		$274.83	$274.83	$1,350.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $109.93 / $178.63	Professional		$109.93	$109.93	$178.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $302.31 / $589.50	Professional		$274.83	$302.31	$589.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.64 / $513.54 / $1,407.36	Facility		$178.64	$513.54	$1,407.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.04 / $169.81 / $401.25	Professional		$136.04	$169.81	$401.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $329.80 / $406.75	Professional		$274.83	$329.80	$406.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.49 / $274.83 / $467.22	Facility		$218.49	$274.83	$467.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $271.00 / $377.00 / $659.59	Professional		$271.00	$377.00	$659.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $192.38 / $307.81 / $4,071.00	Facility		$192.38	$307.81	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $307.81 / $4,071.00	Professional		$192.38	$307.81	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $142.91 / $316.05	Professional		$115.43	$142.91	$316.05