Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.89 / $616.04 / $1,080.84	Facility		$275.89	$616.04	$1,080.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $243.44 / $275.89	Professional		$194.75	$243.44	$275.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $324.58 / $324.58 / $1,595.31	Facility		$324.58	$324.58	$1,595.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.83 / $129.83 / $210.97	Professional		$129.83	$129.83	$210.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $259.66 / $292.12 / $569.63	Professional		$259.66	$292.12	$569.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.98 / $606.51 / $1,662.34	Facility		$210.98	$606.51	$1,662.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.22 / $197.06 / $535.83	Professional		$153.22	$197.06	$535.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $389.50 / $480.38	Professional		$324.58	$389.50	$480.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $270.22 / $373.27 / $558.28	Facility		$270.22	$373.27	$558.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $454.00 / $778.99	Professional		$324.58	$454.00	$778.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $265.52 / $363.53 / $4,071.00	Facility		$265.52	$363.53	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $265.52 / $363.53 / $4,071.00	Professional		$265.52	$363.53	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $168.78 / $421.95	Professional		$136.32	$168.78	$421.95