Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.93 / $618.37 / $977.00	Facility		$276.93	$618.37	$977.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.90 / $254.12 / $276.93	Professional		$162.90	$254.12	$276.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.80 / $325.80 / $1,586.65	Facility		$325.80	$325.80	$1,586.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.32 / $130.32 / $168.76	Professional		$130.32	$130.32	$168.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $320.76 / $490.21 / $733.81	Professional		$320.76	$490.21	$733.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.13 / $529.42 / $1,477.03	Facility		$214.13	$529.42	$1,477.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.16 / $195.48 / $483.00	Professional		$79.16	$195.48	$483.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.96 / $407.25 / $482.18	Professional		$390.96	$407.25	$482.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $213.38 / $237.28 / $293.22	Facility		$213.38	$237.28	$293.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $136.37 / $157.40 / $187.00	Professional		$136.37	$157.40	$187.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $158.55 / $364.90 / $4,071.00	Facility		$158.55	$364.90	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $158.55 / $364.90 / $4,071.00	Professional		$158.55	$364.90	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $142.69 / $325.80 / $325.80	Facility		$142.69	$325.80	$325.80
United Facility/Professional Professional Modifier Low / Median / High Price $63.55 / $143.35 / $195.48	Professional		$63.55	$143.35	$195.48