Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.34 / $1,123.20 / $1,480.92	Facility		$214.34	$1,123.20	$1,480.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $184.50 / $248.10	Professional		$126.60	$184.50	$248.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.26 / $597.08 / $862.30	Professional		$453.26	$597.08	$862.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $1,629.35	Professional		$165.00	$165.00	$1,629.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.15 / $638.35 / $1,295.84	Facility		$623.15	$638.35	$1,295.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $285.89 / $521.57	Professional		$200.40	$285.89	$521.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.08 / $305.99 / $387.14	Professional		$260.08	$305.99	$387.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.88 / $220.78 / $360.32	Facility		$147.88	$220.78	$360.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $283.47 / $359.47 / $513.46	Professional		$283.47	$359.47	$513.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $154.94 / $228.38 / $479.57	Facility		$154.94	$228.38	$479.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $154.94 / $228.38 / $479.57	Professional		$154.94	$228.38	$479.57
United Facility/Professional Professional Modifier Low / Median / High Price $113.80 / $198.75 / $318.95	Professional		$113.80	$198.75	$318.95