Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.37 / $950.42 / $2,965.94	Facility		$326.37	$950.42	$2,965.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.18 / $283.37 / $326.37	Professional		$259.18	$283.37	$326.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.57 / $345.57 / $1,698.48	Facility		$345.57	$345.57	$1,698.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.65 / $170.65 / $272.70	Professional		$170.65	$170.65	$272.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.13 / $741.25 / $2,074.34	Professional		$380.13	$741.25	$2,074.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.62 / $761.48 / $1,769.68	Facility		$224.62	$761.48	$1,769.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $231.41 / $683.79	Professional		$172.78	$231.41	$683.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.57 / $414.68 / $511.44	Professional		$345.57	$414.68	$511.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $326.37 / $537.03 / $758.45	Facility		$326.37	$537.03	$758.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.00 / $593.00 / $829.37	Professional		$346.00	$593.00	$829.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $314.85 / $418.52 / $9,929.00	Facility		$314.85	$418.52	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $328.53 / $419.87 / $9,929.00	Professional		$328.53	$419.87	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $207.34 / $471.44	Professional		$145.13	$207.34	$471.44