Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $537.03 / $707.95	Facility		$213.80	$537.03	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $323.59	Professional		$186.21	$218.78	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $1,778.28	Facility		$1,122.02	$1,479.11	$1,778.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $489.78	Professional		$288.40	$288.40	$489.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $229.09 / $257.04	Professional		$218.78	$229.09	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $707.95 / $1,445.44	Facility		$288.40	$707.95	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $416.87	Professional		$346.74	$346.74	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $309.03 / $398.11	Professional		$281.84	$309.03	$398.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $275.42 / $436.52	Facility		$213.80	$275.42	$436.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $588.84	Professional		$181.97	$181.97	$588.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $323.59 / $575.44	Facility		$199.53	$323.59	$575.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $575.44	Professional		$199.53	$323.59	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $281.84 / $338.84	Facility		$169.82	$281.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $323.59	Professional		$117.49	$141.25	$323.59