Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.47 / $309.10 / $513.14	Facility		$155.47	$309.10	$513.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $169.99 / $176.21	Professional		$155.47	$169.99	$176.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $207.31 / $1,018.93	Facility		$207.31	$207.31	$1,018.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $82.92 / $134.75	Professional		$82.92	$82.92	$134.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $404.25 / $912.16	Professional		$207.31	$404.25	$912.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $386.00 / $1,061.83	Facility		$134.75	$386.00	$1,061.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $128.09 / $340.28	Professional		$100.90	$128.09	$340.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $248.77 / $306.82	Professional		$207.31	$248.77	$306.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $164.81 / $207.31 / $352.42	Facility		$164.81	$207.31	$352.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $284.00 / $497.54	Professional		$204.00	$284.00	$497.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $171.93 / $225.97 / $4,071.00	Facility		$171.93	$225.97	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $171.93 / $235.71 / $4,071.00	Professional		$171.93	$235.71	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $186.58 / $207.31 / $310.97	Facility		$186.58	$207.31	$310.97
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $107.80 / $238.41	Professional		$87.07	$107.80	$238.41