Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.84 / $849.49 / $1,347.05	Facility		$343.84	$849.49	$1,347.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.39 / $331.71 / $343.84	Professional		$303.39	$331.71	$343.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $404.52 / $404.52 / $1,988.22	Facility		$404.52	$404.52	$1,988.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.81 / $161.81 / $262.93	Professional		$161.81	$161.81	$262.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $323.62 / $631.05 / $1,444.78	Professional		$323.62	$631.05	$1,444.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.94 / $755.88 / $1,833.30	Facility		$262.94	$755.88	$1,833.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.06 / $245.60 / $667.84	Professional		$185.06	$245.60	$667.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $404.52 / $485.42 / $598.69	Professional		$404.52	$485.42	$598.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $328.36 / $455.09 / $687.68	Facility		$328.36	$455.09	$687.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $424.75 / $955.13	Professional		$405.00	$424.75	$955.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $283.16 / $453.06 / $9,929.00	Facility		$283.16	$453.06	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $283.16 / $453.06 / $9,929.00	Professional		$283.16	$453.06	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.91 / $197.49 / $377.61	Professional		$137.91	$197.49	$377.61