Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.16 / $281.68 / $559.51	Facility		$140.16	$281.68	$559.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $123.18 / $140.16	Professional		$111.31	$123.18	$140.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $148.41 / $722.76	Facility		$148.41	$148.41	$722.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $73.29 / $89.78	Professional		$73.29	$73.29	$89.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $439.69 / $671.98 / $1,005.89	Professional		$439.69	$671.98	$1,005.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.70 / $390.27 / $751.48	Facility		$103.70	$390.27	$751.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.48 / $98.94 / $170.57	Professional		$83.48	$98.94	$170.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.09 / $185.51 / $219.65	Professional		$178.09	$185.51	$219.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $118.73 / $160.59 / $160.59	Facility		$118.73	$160.59	$160.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $241.30 / $364.00	Professional		$204.00	$241.30	$364.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $115.43 / $197.74 / $4,071.00	Facility		$115.43	$197.74	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $197.74 / $4,071.00	Professional		$115.43	$197.74	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $178.09 / $178.09 / $178.09	Facility		$178.09	$178.09	$178.09
United Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $89.05 / $124.44	Professional		$62.33	$89.05	$124.44