Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.92 / $397.29 / $644.71	Facility		$177.92	$397.29	$644.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.99 / $173.74 / $177.92	Professional		$156.99	$173.74	$177.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.32 / $209.32 / $1,019.39	Facility		$209.32	$209.32	$1,019.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $83.73 / $126.63	Professional		$83.73	$83.73	$126.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $390.89 / $597.39 / $894.24	Professional		$390.89	$597.39	$894.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.26 / $387.46 / $948.56	Facility		$146.26	$387.46	$948.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.97 / $115.68 / $240.37	Professional		$78.97	$115.68	$240.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.18 / $261.64 / $309.79	Professional		$251.18	$261.64	$309.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $104.66 / $177.92	Facility		$104.66	$104.66	$177.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $181.44 / $323.00	Professional		$150.66	$181.44	$323.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $152.80 / $243.40 / $4,071.00	Facility		$152.80	$243.40	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $146.52 / $248.53 / $4,071.00	Professional		$146.52	$248.53	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $104.66 / $184.38	Professional		$77.44	$104.66	$184.38