Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.88 / $547.79 / $1,728.40	Facility		$209.88	$547.79	$1,728.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.83 / $209.88 / $246.92	Professional		$179.83	$209.88	$246.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $246.92 / $1,202.50	Facility		$246.92	$246.92	$1,202.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $31.98 / $149.38	Professional		$31.98	$31.98	$149.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $942.35 / $1,410.62	Professional		$616.60	$942.35	$1,410.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $375.84 / $834.85	Facility		$79.95	$375.84	$834.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $60.16 / $257.63	Professional		$59.04	$60.16	$257.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.30 / $308.64 / $365.44	Professional		$296.30	$308.64	$365.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $179.83 / $199.94 / $298.77	Facility		$179.83	$199.94	$298.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $215.23 / $518.53	Professional		$160.50	$215.23	$518.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $172.84 / $287.12 / $4,071.00	Facility		$172.84	$287.12	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $172.84 / $287.12 / $4,071.00	Professional		$172.84	$287.12	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $111.11 / $161.41	Professional		$90.40	$111.11	$161.41