Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.96 / $162.75 / $304.81	Facility		$127.96	$162.75	$304.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $140.41 / $221.79	Professional		$105.76	$140.41	$221.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.56 / $132.44 / $218.96	Professional		$103.56	$132.44	$218.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $98.02 / $98.02 / $822.00	Professional		$98.02	$98.02	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.07 / $191.07 / $191.07	Facility		$191.07	$191.07	$191.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.01 / $164.90 / $286.39	Professional		$116.01	$164.90	$286.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.02 / $179.23 / $209.03	Professional		$140.02	$179.23	$209.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.14 / $169.28 / $258.06	Facility		$114.14	$169.28	$258.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $207.92 / $266.00	Professional		$180.00	$207.92	$266.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $107.95 / $152.44 / $672.69	Facility		$107.95	$152.44	$672.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $186.54 / $686.84	Professional		$132.72	$186.54	$686.84
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $819.00 / $2,364.00	Facility		$206.00	$819.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.20 / $179.01 / $283.47	Professional		$116.20	$179.01	$283.47