Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.52 / $238.20 / $473.14	Facility		$118.52	$238.20	$473.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.05 / $97.89 / $118.52	Professional		$90.05	$97.89	$118.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $125.50 / $611.19	Facility		$125.50	$125.50	$611.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $61.98 / $75.92	Professional		$61.98	$61.98	$75.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $371.72 / $568.10 / $850.40	Professional		$371.72	$568.10	$850.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.70 / $302.27 / $568.54	Facility		$87.70	$302.27	$568.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.66 / $83.66 / $144.13	Professional		$63.66	$83.66	$144.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.60 / $156.88 / $185.74	Professional		$150.60	$156.88	$185.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.40 / $91.40 / $118.52	Facility		$91.40	$91.40	$118.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $172.52 / $201.08 / $308.00	Professional		$172.52	$201.08	$308.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $97.61 / $167.22 / $4,071.00	Facility		$97.61	$167.22	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $97.61 / $167.22 / $4,071.00	Professional		$97.61	$167.22	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $73.64 / $125.50	Professional		$52.71	$73.64	$125.50