Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.52 / $144.04 / $510.01	Facility		$138.52	$144.04	$510.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.93 / $138.52 / $182.15	Professional		$120.93	$138.52	$182.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $444.43 / $560.50 / $733.28	Facility		$444.43	$560.50	$733.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.86 / $174.49 / $288.48	Professional		$134.86	$174.49	$288.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $188.75 / $195.60 / $1,759.09	Professional		$188.75	$195.60	$1,759.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.98 / $350.26 / $825.00	Facility		$195.98	$350.26	$825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.52 / $238.18 / $670.52	Professional		$119.52	$238.18	$670.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $168.08 / $207.30	Professional		$139.19	$168.08	$207.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.32 / $237.67 / $767.21	Facility		$139.32	$237.67	$767.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $176.00 / $397.00	Professional		$94.68	$176.00	$397.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $153.35 / $440.74	Facility		$80.45	$153.35	$440.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $94.31 / $215.45 / $631.50	Professional		$94.31	$215.45	$631.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,563.50 / $6,578.17 / $6,578.17	Facility		$1,563.50	$6,578.17	$6,578.17
United Facility/Professional Professional Modifier Low / Median / High Price $131.08 / $223.76 / $621.30	Professional		$131.08	$223.76	$621.30