Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.85 / $360.71 / $618.13	Facility		$154.85	$360.71	$618.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.77 / $123.30 / $154.85	Professional		$114.77	$123.30	$154.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $163.96 / $805.86	Facility		$163.96	$163.96	$805.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $80.97 / $123.34	Professional		$80.97	$80.97	$123.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $220.57 / $445.19	Professional		$163.96	$220.57	$445.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.57 / $361.61 / $840.39	Facility		$106.57	$361.61	$840.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.05 / $109.81 / $324.54	Professional		$82.05	$109.81	$324.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $196.75 / $242.66	Professional		$163.96	$196.75	$242.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.03 / $184.46 / $309.70	Facility		$119.03	$184.46	$309.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $281.00 / $387.55	Professional		$164.00	$281.00	$387.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $149.38 / $198.58 / $9,929.00	Facility		$149.38	$198.58	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $155.88 / $198.58 / $9,929.00	Professional		$155.88	$198.58	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $109.31 / $163.96 / $268.43	Facility		$109.31	$163.96	$268.43
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $93.95 / $223.69	Professional		$68.86	$93.95	$223.69