Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.38 / $307.25 / $498.59	Facility		$134.38	$307.25	$498.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.41 / $134.36 / $137.60	Professional		$121.41	$134.36	$137.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.88 / $161.88 / $788.36	Facility		$161.88	$161.88	$788.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $64.75 / $87.01	Professional		$64.75	$64.75	$87.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $213.36 / $326.07 / $488.10	Professional		$213.36	$326.07	$488.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.40 / $250.15 / $733.32	Facility		$106.40	$250.15	$733.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $82.56 / $185.85	Professional		$43.32	$82.56	$185.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.26 / $202.35 / $239.58	Professional		$194.26	$202.35	$239.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.38 / $117.90 / $137.60	Facility		$60.38	$117.90	$137.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $112.61 / $178.00	Professional		$99.00	$112.61	$178.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.64 / $188.23 / $4,071.00	Facility		$100.64	$188.23	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.64 / $192.20 / $4,071.00	Professional		$100.64	$192.20	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $71.23 / $100.38	Professional		$42.27	$71.23	$100.38