Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $165.96 / $398.11	Facility		$138.04	$165.96	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $263.03	Professional		$134.90	$151.36	$263.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $575.44 / $691.83	Facility		$489.78	$575.44	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $263.03	Professional		$123.03	$173.78	$263.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $190.55 / $436.52	Professional		$25.70	$190.55	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $549.54 / $870.96	Facility		$389.05	$549.54	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $346.74	Professional		$104.71	$194.98	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $190.55	Professional		$131.83	$181.97	$190.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $194.98	Professional		$138.04	$154.88	$194.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $223.87 / $323.59	Facility		$138.04	$223.87	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $169.82 / $436.52	Facility		$29.51	$169.82	$436.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $186.21 / $549.54	Professional		$32.36	$186.21	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $144.54 / $1,862.09	Facility		$31.62	$144.54	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $229.09 / $389.05	Professional		$123.03	$229.09	$389.05