Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.88 / $167.50 / $588.29	Facility		$149.88	$167.50	$588.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $149.88 / $261.30	Professional		$118.94	$149.88	$261.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $496.83 / $626.58 / $819.72	Facility		$496.83	$626.58	$819.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.10 / $183.14 / $286.98	Professional		$140.10	$183.14	$286.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.93 / $165.93 / $1,707.94	Professional		$165.93	$165.93	$1,707.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.10 / $395.43 / $825.00	Facility		$247.10	$395.43	$825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.30 / $238.62 / $648.88	Professional		$125.30	$238.62	$648.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.86 / $188.23 / $224.84	Professional		$156.86	$188.23	$224.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $149.88 / $254.08 / $770.13	Facility		$149.88	$254.08	$770.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $179.00 / $358.00	Professional		$76.00	$179.00	$358.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.62 / $160.46 / $464.55	Facility		$69.62	$160.46	$464.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $78.25 / $228.42 / $631.50	Professional		$78.25	$228.42	$631.50
United Facility/Professional Facility Modifier Low / Median / High Price $546.17 / $6,578.17 / $6,578.17	Facility		$546.17	$6,578.17	$6,578.17
United Facility/Professional Professional Modifier Low / Median / High Price $149.59 / $239.90 / $633.91	Professional		$149.59	$239.90	$633.91