Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.09 / $488.64 / $921.67	Facility		$193.09	$488.64	$921.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.09 / $229.13 / $243.14	Professional		$193.09	$229.13	$243.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $257.45 / $1,265.36	Facility		$257.45	$257.45	$1,265.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.14 / $127.14 / $203.18	Professional		$127.14	$127.14	$203.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $502.03 / $1,557.07	Professional		$257.45	$502.03	$1,557.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.34 / $604.85 / $1,318.45	Facility		$167.34	$604.85	$1,318.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.08 / $190.94 / $509.63	Professional		$134.08	$190.94	$509.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $308.94 / $381.03	Professional		$257.45	$308.94	$381.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.68 / $432.13 / $595.23	Facility		$204.68	$432.13	$595.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.00 / $395.00 / $617.88	Professional		$257.00	$395.00	$617.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $231.71 / $316.49 / $4,071.00	Facility		$231.71	$316.49	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $234.56 / $316.49 / $4,071.00	Professional		$234.56	$316.49	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $148.63 / $406.96	Professional		$108.13	$148.63	$406.96