Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $144.54 / $331.13	Facility		$138.04	$144.54	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $295.12	Professional		$109.65	$144.54	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $645.65 / $812.83	Facility		$549.54	$645.65	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $331.13	Professional		$141.25	$199.53	$331.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $2,041.74	Professional		$104.71	$177.83	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $389.05 / $870.96	Facility		$199.53	$389.05	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $251.19 / $660.69	Professional		$120.23	$251.19	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $223.87	Professional		$151.36	$181.97	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $851.14 / $870.96	Professional		$331.13	$851.14	$870.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $229.09 / $707.95	Facility		$138.04	$229.09	$707.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $691.83	Professional		$239.88	$239.88	$691.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $151.36 / $512.86	Facility		$75.86	$151.36	$512.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $199.53 / $630.96	Professional		$83.18	$199.53	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $549.54 / $6,606.93	Facility		$72.44	$549.54	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $616.60	Professional		$128.82	$229.09	$616.60