Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.48 / $463.55 / $1,033.74	Facility		$208.48	$463.55	$1,033.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.56 / $208.48 / $226.91	Professional		$165.56	$208.48	$226.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.74 / $220.74 / $1,084.94	Facility		$220.74	$220.74	$1,084.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.01 / $109.01 / $166.16	Professional		$109.01	$109.01	$166.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $220.74 / $387.47 / $804.19	Professional		$220.74	$387.47	$804.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.47 / $486.48 / $1,130.60	Facility		$143.47	$486.48	$1,130.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.38 / $147.82 / $437.01	Professional		$110.38	$147.82	$437.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.74 / $264.89 / $326.70	Professional		$220.74	$264.89	$326.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.48 / $343.11 / $484.48	Facility		$208.48	$343.11	$484.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $379.00 / $529.78	Professional		$221.00	$379.00	$529.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $201.12 / $267.33 / $9,929.00	Facility		$201.12	$267.33	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $209.86 / $268.20 / $9,929.00	Professional		$209.86	$268.20	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $132.44 / $301.14	Professional		$92.71	$132.44	$301.14