Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.35 / $420.91 / $671.63	Facility		$185.35	$420.91	$671.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.55 / $180.99 / $185.35	Professional		$163.55	$180.99	$185.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $218.06 / $1,061.95	Facility		$218.06	$218.06	$1,061.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $87.22 / $131.91	Professional		$87.22	$87.22	$131.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $462.29 / $706.51 / $1,057.58	Professional		$462.29	$706.51	$1,057.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $629.90 / $1,117.19	Facility		$141.74	$629.90	$1,117.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $122.11 / $313.36	Professional		$2.15	$122.11	$313.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.67 / $272.58 / $322.73	Professional		$261.67	$272.58	$322.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.39 / $113.39 / $196.25	Facility		$113.39	$113.39	$196.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $174.45 / $178.81 / $457.93	Professional		$174.45	$178.81	$457.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $152.63 / $258.89 / $4,071.00	Facility		$152.63	$258.89	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $258.89 / $4,071.00	Professional		$152.63	$258.89	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $76.31 / $109.03 / $218.06	Facility		$76.31	$109.03	$218.06
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $98.13 / $163.55	Professional		$91.59	$98.13	$163.55