Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.97 / $451.21 / $932.07	Facility		$226.97	$451.21	$932.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.97 / $248.15 / $257.23	Professional		$226.97	$248.15	$257.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.62 / $302.62 / $1,487.38	Facility		$302.62	$302.62	$1,487.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.05 / $121.05 / $193.45	Professional		$121.05	$121.05	$193.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.57 / $211.83 / $247.84	Professional		$93.57	$211.83	$247.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.33 / $196.70 / $1,371.63	Facility		$103.33	$196.70	$1,371.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $149.79 / $441.64	Professional		$28.28	$149.79	$441.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.49 / $360.12 / $447.88	Professional		$287.49	$360.12	$447.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.14 / $240.59 / $470.73	Facility		$60.14	$240.59	$470.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $90.00 / $714.58	Professional		$56.00	$90.00	$714.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.29 / $302.62 / $7,420.00	Facility		$46.29	$302.62	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $302.62 / $7,420.00	Professional		$47.72	$302.62	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $302.62 / $302.62 / $302.62	Facility		$302.62	$302.62	$302.62
United Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $127.10 / $181.57	Professional		$16.64	$127.10	$181.57