Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.27 / $644.65 / $1,119.34	Facility		$260.27	$644.65	$1,119.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.68 / $313.68 / $491.84	Professional		$313.68	$313.68	$491.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.68 / $661.86 / $1,066.51	Facility		$313.68	$661.86	$1,066.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.19 / $422.19 / $422.19	Professional		$422.19	$422.19	$422.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $463.03 / $526.89 / $795.13	Professional		$463.03	$526.89	$795.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.92 / $295.92 / $486.76	Facility		$295.92	$295.92	$486.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.50 / $486.76 / $486.76	Professional		$137.50	$486.76	$486.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.63 / $376.42 / $529.09	Professional		$266.63	$376.42	$529.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.16 / $313.68 / $534.77	Facility		$175.16	$313.68	$534.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $262.00	Professional		$250.00	$250.00	$262.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $465.76 / $495.45 / $639.74	Facility		$465.76	$495.45	$639.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $465.76 / $495.45 / $639.74	Professional		$465.76	$495.45	$639.74
United Facility/Professional Facility Modifier Low / Median / High Price $421.24 / $421.24 / $421.24	Facility		$421.24	$421.24	$421.24
United Facility/Professional Professional Modifier Low / Median / High Price $340.89 / $435.27 / $529.09	Professional		$340.89	$435.27	$529.09