Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.43 / $494.43 / $802.34	Facility		$221.43	$494.43	$802.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $208.40 / $221.43	Professional		$195.38	$208.40	$221.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.50 / $260.50 / $1,268.64	Facility		$260.50	$260.50	$1,268.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $104.20 / $158.83	Professional		$104.20	$104.20	$158.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $208.40 / $208.40 / $406.38	Professional		$208.40	$208.40	$406.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.33 / $574.54 / $1,335.25	Facility		$169.33	$574.54	$1,335.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.54 / $158.18 / $464.00	Professional		$108.54	$158.18	$464.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $312.60 / $385.54	Professional		$260.50	$312.60	$385.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $189.72 / $208.40 / $351.68	Facility		$189.72	$208.40	$351.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $307.00 / $615.53	Professional		$256.00	$307.00	$615.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $182.35 / $313.12 / $4,071.00	Facility		$182.35	$313.12	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $182.35 / $315.31 / $4,071.00	Professional		$182.35	$315.31	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $156.30 / $260.50 / $312.60	Facility		$156.30	$260.50	$312.60
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $130.25 / $260.50	Professional		$109.41	$130.25	$260.50