Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $161.36 / $565.44	Facility		$160.96	$161.36	$565.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.68 / $160.96 / $205.83	Professional		$138.68	$160.96	$205.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.16 / $663.58 / $868.13	Facility		$526.16	$663.58	$868.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.56 / $203.18 / $325.43	Professional		$156.56	$203.18	$325.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $214.94 / $222.17 / $1,732.10	Professional		$214.94	$222.17	$1,732.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.86 / $468.18 / $825.00	Facility		$272.86	$468.18	$825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.27 / $271.27 / $659.12	Professional		$138.27	$271.27	$659.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.85 / $198.05 / $241.44	Professional		$164.85	$198.05	$241.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $267.06 / $783.21	Facility		$160.96	$267.06	$783.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.64 / $205.00 / $445.00	Professional		$83.64	$205.00	$445.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.25 / $178.09 / $491.68	Facility		$77.25	$178.09	$491.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.96 / $248.04 / $631.50	Professional		$87.96	$248.04	$631.50
United Facility/Professional Facility Modifier Low / Median / High Price $5,541.80 / $6,141.87 / $14,677.66	Facility		$5,541.80	$6,141.87	$14,677.66
United Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $270.74 / $756.84	Professional		$145.44	$270.74	$756.84