Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.78 / $981.86 / $1,495.26	Facility		$379.78	$981.86	$1,495.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.58 / $379.78 / $591.11	Professional		$301.58	$379.78	$591.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.12 / $402.12 / $1,976.42	Facility		$402.12	$402.12	$1,976.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.58 / $198.58 / $317.35	Professional		$198.58	$198.58	$317.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $442.33 / $589.28 / $1,189.35	Professional		$442.33	$589.28	$1,189.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.38 / $886.35 / $2,059.90	Facility		$261.38	$886.35	$2,059.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.12 / $269.25 / $795.61	Professional		$201.12	$269.25	$795.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.12 / $482.54 / $595.14	Professional		$402.12	$482.54	$595.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $379.78 / $624.84 / $882.58	Facility		$379.78	$624.84	$882.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $402.00 / $690.00 / $965.09	Professional		$402.00	$690.00	$965.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $366.38 / $487.01 / $9,929.00	Facility		$366.38	$487.01	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $382.30 / $488.58 / $9,929.00	Professional		$382.30	$488.58	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $168.89 / $168.89 / $168.89	Facility		$168.89	$168.89	$168.89
United Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $241.27 / $630.89	Professional		$168.89	$241.27	$630.89