Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.66 / $357.37 / $1,018.40	Facility		$181.66	$357.37	$1,018.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.86 / $316.24 / $787.11	Professional		$198.86	$316.24	$787.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $604.72 / $737.22	Facility		$494.25	$604.72	$737.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.58 / $187.07 / $292.86	Professional		$144.58	$187.07	$292.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.53 / $204.67 / $1,756.11	Professional		$204.53	$204.67	$1,756.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.68 / $308.73 / $795.70	Professional		$257.68	$308.73	$795.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.74 / $182.42 / $224.99	Professional		$150.74	$182.42	$224.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.34 / $313.88 / $805.71	Facility		$177.34	$313.88	$805.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $182.00 / $409.00	Professional		$97.00	$182.00	$409.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $166.15 / $495.29	Facility		$86.12	$166.15	$495.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $234.57 / $631.50	Professional		$96.75	$234.57	$631.50
United Facility/Professional Facility Modifier Low / Median / High Price $7,002.43 / $10,958.06 / $10,958.06	Facility		$7,002.43	$10,958.06	$10,958.06
United Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $255.01 / $654.61	Professional		$142.91	$255.01	$654.61