Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $549.54 / $851.14	Facility		$208.93	$549.54	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $389.05	Professional		$173.78	$302.00	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $2,570.40	Facility		$1,621.81	$2,137.96	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $173.78	Professional		$97.72	$97.72	$173.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $371.54	Professional		$316.23	$331.13	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $912.01 / $2,089.30	Facility		$416.87	$912.01	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $501.19 / $588.84	Professional		$144.54	$501.19	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $575.44	Professional		$407.38	$446.68	$575.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $354.81 / $562.34	Facility		$257.04	$354.81	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $851.14	Professional		$158.49	$158.49	$851.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $316.23 / $794.33	Facility		$186.21	$316.23	$794.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $316.23 / $645.65	Professional		$186.21	$316.23	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $407.38 / $489.78	Facility		$147.91	$407.38	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $281.84	Professional		$104.71	$123.03	$281.84