Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.70 / $712.66 / $1,101.28	Facility		$337.70	$712.66	$1,101.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.17 / $296.77 / $337.70	Professional		$268.17	$296.77	$337.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.56 / $357.56 / $1,741.32	Facility		$357.56	$357.56	$1,741.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.57 / $176.57 / $216.32	Professional		$176.57	$176.57	$216.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $994.34 / $1,519.66 / $2,274.80	Professional		$994.34	$1,519.66	$2,274.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.01 / $850.47 / $1,831.75	Facility		$235.01	$850.47	$1,831.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.61 / $274.92 / $530.22	Professional		$202.61	$274.92	$530.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $429.07 / $446.95 / $529.19	Professional		$429.07	$446.95	$529.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $189.51 / $357.56	Facility		$189.51	$189.51	$357.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $286.93 / $487.94 / $580.00	Professional		$286.93	$487.94	$580.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $476.63 / $4,071.00	Facility		$278.10	$476.63	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $278.10 / $476.63 / $4,071.00	Professional		$278.10	$476.63	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.18 / $203.81 / $293.39	Professional		$150.18	$203.81	$293.39