Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $147.91 / $338.84	Facility		$144.54	$147.91	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $295.12	Professional		$114.82	$147.91	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $630.96 / $794.33	Facility		$524.81	$630.96	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $346.74	Professional		$147.91	$204.17	$346.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $177.83 / $1,905.46	Professional		$83.18	$177.83	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $446.68 / $954.99	Facility		$245.47	$446.68	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $251.19 / $630.96	Professional		$123.03	$251.19	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $218.78	Professional		$147.91	$177.83	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $831.76 / $851.14	Professional		$338.84	$831.76	$851.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $234.42 / $691.83	Facility		$141.25	$234.42	$691.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $660.69	Professional		$245.47	$245.47	$660.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $154.88 / $501.19	Facility		$64.57	$154.88	$501.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $208.93 / $630.96	Professional		$69.18	$208.93	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $524.81 / $6,606.93	Facility		$56.23	$524.81	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $616.60	Professional		$131.83	$234.42	$616.60