Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.81 / $212.19 / $1,288.61	Facility		$66.81	$212.19	$1,288.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.38 / $212.19 / $310.43	Professional		$174.38	$212.19	$310.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.14 / $429.14 / $455.75	Facility		$429.14	$429.14	$455.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.85 / $253.85 / $329.00	Professional		$253.85	$253.85	$329.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $230.00 / $293.36	Professional		$230.00	$230.00	$293.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.73 / $315.73 / $350.29	Facility		$315.73	$315.73	$350.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $230.48 / $336.59	Professional		$230.48	$230.48	$336.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.39 / $386.23 / $514.97	Professional		$300.39	$386.23	$514.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.44 / $263.93 / $479.50	Facility		$134.44	$263.93	$479.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $536.42 / $714.81	Professional		$237.00	$536.42	$714.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $235.12 / $323.87 / $536.42	Facility		$235.12	$323.87	$536.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $235.12 / $323.87 / $536.42	Professional		$235.12	$323.87	$536.42
United Facility/Professional Facility Modifier Low / Median / High Price $243.26 / $243.26 / $243.26	Facility		$243.26	$243.26	$243.26
United Facility/Professional Professional Modifier Low / Median / High Price $189.09 / $214.10 / $322.50	Professional		$189.09	$214.10	$322.50