Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.26 / $405.83 / $643.52	Facility		$164.26	$405.83	$643.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $164.26 / $164.26	Professional		$144.94	$164.26	$164.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $193.25 / $949.82	Facility		$193.25	$193.25	$949.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $77.30 / $125.61	Professional		$77.30	$77.30	$125.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $154.60 / $301.47	Professional		$154.60	$154.60	$301.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $361.09 / $989.67	Facility		$125.61	$361.09	$989.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.22 / $117.25 / $318.82	Professional		$91.22	$117.25	$318.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $231.90 / $286.01	Professional		$193.25	$231.90	$286.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $160.88 / $231.90 / $328.52	Facility		$160.88	$231.90	$328.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $271.00 / $463.80	Professional		$193.00	$271.00	$463.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $158.09 / $216.44 / $4,071.00	Facility		$158.09	$216.44	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $158.09 / $216.44 / $4,071.00	Professional		$158.09	$216.44	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $100.49 / $222.24	Professional		$81.17	$100.49	$222.24