Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.53 / $179.53 / $469.58	Facility		$179.53	$179.53	$469.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.44 / $179.53 / $201.13	Professional		$167.44	$179.53	$201.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,492.06 / $3,195.45 / $4,035.32	Facility		$2,492.06	$3,195.45	$4,035.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $120.90 / $196.46	Professional		$120.90	$120.90	$196.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.15 / $241.23 / $390.76	Professional		$190.15	$241.23	$390.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.85 / $384.44 / $576.64	Facility		$133.85	$384.44	$576.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.86 / $151.22 / $414.68	Professional		$106.86	$151.22	$414.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.61 / $305.70 / $488.09	Professional		$220.61	$305.70	$488.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $189.74 / $318.00 / $579.90	Facility		$189.74	$318.00	$579.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $241.00 / $446.93	Professional		$140.00	$241.00	$446.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $105.51 / $208.18 / $483.45	Facility		$105.51	$208.18	$483.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $105.51 / $238.35 / $563.47	Professional		$105.51	$238.35	$563.47
United Facility/Professional Facility Modifier Low / Median / High Price $31.21 / $64.93 / $669.29	Facility		$31.21	$64.93	$669.29
United Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $230.78 / $480.87	Professional		$138.47	$230.78	$480.87