Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $459.23 / $762.39	Facility		$231.00	$459.23	$762.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $252.56 / $261.80	Professional		$184.80	$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 $246.40 / $246.40 / $480.48	Professional		$246.40	$246.40	$480.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.20 / $573.30 / $1,578.46	Facility		$200.20	$573.30	$1,578.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $190.34 / $505.83	Professional		$150.00	$190.34	$505.83
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 $244.86 / $306.31 / $479.09	Facility		$244.86	$306.31	$479.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $303.00 / $422.00 / $739.20	Professional		$303.00	$422.00	$739.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $255.44 / $335.72 / $4,071.00	Facility		$255.44	$335.72	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $255.44 / $350.20 / $4,071.00	Professional		$255.44	$350.20	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $129.36 / $129.36 / $129.36	Facility		$129.36	$129.36	$129.36
United Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $175.56 / $354.20	Professional		$129.36	$175.56	$354.20