Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.54 / $810.01 / $1,214.65	Facility		$223.54	$810.01	$1,214.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.24 / $218.28 / $234.06	Professional		$197.24	$218.28	$234.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.99 / $262.99 / $1,292.59	Facility		$262.99	$262.99	$1,292.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $105.20 / $170.94	Professional		$105.20	$105.20	$170.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $210.39 / $210.39 / $410.26	Professional		$210.39	$210.39	$410.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.94 / $489.44 / $1,346.98	Facility		$170.94	$489.44	$1,346.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.08 / $162.54 / $431.93	Professional		$128.08	$162.54	$431.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $315.58 / $389.23	Professional		$262.99	$315.58	$389.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $209.07 / $262.99 / $409.08	Facility		$209.07	$262.99	$409.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $259.00 / $360.00 / $631.17	Professional		$259.00	$360.00	$631.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $218.11 / $286.66 / $4,071.00	Facility		$218.11	$286.66	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $218.11 / $299.02 / $4,071.00	Professional		$218.11	$299.02	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $136.75 / $302.44	Professional		$110.46	$136.75	$302.44