Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $263.03 / $676.08	Facility		$97.72	$263.03	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $234.42	Professional		$89.13	$104.71	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $239.88	Professional		$107.15	$151.36	$239.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $407.38	Professional		$104.71	$177.83	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $501.19 / $870.96	Facility		$269.15	$501.19	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $251.19	Professional		$93.33	$144.54	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $154.88	Professional		$104.71	$141.25	$154.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $208.93	Professional		$151.36	$165.96	$208.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $154.88 / $245.47	Facility		$97.72	$154.88	$245.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $151.36 / $4,073.80	Facility		$104.71	$151.36	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $4,073.80	Professional		$104.71	$151.36	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $128.82 / $144.54	Facility		$66.07	$128.82	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $213.80	Professional		$89.13	$131.83	$213.80