Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.36 / $321.39 / $616.64	Facility		$146.36	$321.39	$616.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.45 / $146.36 / $294.52	Professional		$125.45	$146.36	$294.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.45 / $593.30 / $776.20	Facility		$470.45	$593.30	$776.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.58 / $177.42 / $253.32	Professional		$133.58	$177.42	$253.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $157.74 / $175.27 / $268.39	Professional		$157.74	$175.27	$268.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.37 / $475.94 / $825.00	Facility		$218.37	$475.94	$825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.93 / $162.85 / $368.49	Professional		$92.93	$162.85	$368.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.91 / $182.79 / $227.21	Professional		$146.91	$182.79	$227.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $162.36 / $267.83	Facility		$112.00	$162.36	$267.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $151.00 / $266.24	Professional		$52.40	$151.00	$266.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.40 / $134.66 / $277.12	Facility		$45.40	$134.66	$277.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $47.58 / $163.88 / $312.05	Professional		$47.58	$163.88	$312.05
United Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $147.58 / $278.64	Professional		$69.95	$147.58	$278.64