Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.85 / $129.34 / $454.28	Facility		$122.85	$129.34	$454.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $122.85 / $165.15	Professional		$106.75	$122.85	$165.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.08 / $490.69 / $641.94	Facility		$389.08	$490.69	$641.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.32 / $151.31 / $250.16	Professional		$118.32	$151.31	$250.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $171.26 / $172.36 / $1,708.56	Professional		$171.26	$172.36	$1,708.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.01 / $330.96 / $825.00	Facility		$189.01	$330.96	$825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.32 / $213.31 / $648.66	Professional		$102.32	$213.31	$648.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.58 / $146.84 / $181.11	Professional		$121.58	$146.84	$181.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.85 / $211.55 / $704.89	Facility		$122.85	$211.55	$704.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $147.00 / $357.00	Professional		$75.06	$147.00	$357.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $70.03 / $136.27 / $456.11	Facility		$70.03	$136.27	$456.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $194.71 / $613.21	Professional		$76.31	$194.71	$613.21
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 $113.74 / $199.05 / $578.88	Professional		$113.74	$199.05	$578.88