Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.02 / $716.85 / $994.72	Facility		$305.02	$716.85	$994.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.22 / $268.06 / $305.02	Professional		$242.22	$268.06	$305.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $322.95 / $1,572.82	Facility		$322.95	$322.95	$1,572.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.49 / $159.49 / $195.39	Professional		$159.49	$159.49	$195.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $898.12 / $1,372.59 / $2,054.65	Professional		$898.12	$1,372.59	$2,054.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.27 / $768.55 / $1,653.94	Facility		$212.27	$768.55	$1,653.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.01 / $248.31 / $478.88	Professional		$183.01	$248.31	$478.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.55 / $403.70 / $477.98	Professional		$387.55	$403.70	$477.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $171.17 / $171.17 / $322.95	Facility		$171.17	$171.17	$322.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $259.17 / $440.72 / $524.00	Professional		$259.17	$440.72	$524.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $251.20 / $430.51 / $4,071.00	Facility		$251.20	$430.51	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $251.20 / $430.51 / $4,071.00	Professional		$251.20	$430.51	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $177.93 / $317.73	Professional		$135.63	$177.93	$317.73