Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.13 / $625.41 / $1,179.65	Facility		$247.13	$625.41	$1,179.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.13 / $270.20 / $280.08	Professional		$247.13	$270.20	$280.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $329.51 / $1,619.54	Facility		$329.51	$329.51	$1,619.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $131.80 / $214.18	Professional		$131.80	$131.80	$214.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $362.46 / $706.80	Professional		$329.51	$362.46	$706.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.18 / $615.71 / $1,687.49	Facility		$214.18	$615.71	$1,687.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.61 / $199.94 / $543.66	Professional		$160.61	$199.94	$543.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $395.41 / $487.67	Professional		$329.51	$395.41	$487.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $274.31 / $378.94 / $566.76	Facility		$274.31	$378.94	$566.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $461.00 / $790.82	Professional		$329.51	$461.00	$790.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $269.36 / $369.05 / $4,071.00	Facility		$269.36	$369.05	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $269.36 / $369.05 / $4,071.00	Professional		$269.36	$369.05	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $171.35 / $378.94	Professional		$138.38	$171.35	$378.94