Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.43 / $450.70 / $714.68	Facility		$182.43	$450.70	$714.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $175.99 / $182.43	Professional		$160.97	$175.99	$182.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.62 / $214.62 / $1,054.85	Facility		$214.62	$214.62	$1,054.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $85.85 / $139.50	Professional		$85.85	$85.85	$139.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $171.70 / $271.27 / $563.02	Professional		$171.70	$271.27	$563.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.50 / $401.02 / $972.32	Facility		$139.50	$401.02	$972.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.18 / $131.84 / $354.05	Professional		$106.18	$131.84	$354.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.62 / $257.54 / $317.64	Professional		$214.62	$257.54	$317.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $193.15 / $260.88 / $369.15	Facility		$193.15	$260.88	$369.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $276.00 / $507.05	Professional		$215.00	$276.00	$507.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $178.96 / $250.86 / $9,929.00	Facility		$178.96	$250.86	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $181.98 / $250.86 / $9,929.00	Professional		$181.98	$250.86	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $111.60 / $279.01	Professional		$90.14	$111.60	$279.01