Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.01 / $290.30 / $571.55	Facility		$152.01	$290.30	$571.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.57 / $162.31 / $306.89	Professional		$138.57	$162.31	$306.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.96 / $196.25 / $295.61	Professional		$153.96	$196.25	$295.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $171.86 / $233.00 / $578.22	Professional		$171.86	$233.00	$578.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.23 / $464.11 / $749.90	Facility		$401.23	$464.11	$749.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.19 / $221.19 / $414.76	Professional		$146.19	$221.19	$414.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.87 / $219.29 / $403.57	Professional		$166.87	$219.29	$403.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $160.62 / $229.07 / $310.00	Facility		$160.62	$229.07	$310.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $235.00 / $393.96	Professional		$206.00	$235.00	$393.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $162.05 / $236.17 / $1,518.80	Facility		$162.05	$236.17	$1,518.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $162.05 / $236.17 / $1,518.80	Professional		$162.05	$236.17	$1,518.80
United Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $207.64 / $348.87	Professional		$136.19	$207.64	$348.87