Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.09 / $368.34 / $540.23	Facility		$149.09	$368.34	$540.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $143.83 / $156.11	Professional		$131.55	$143.83	$156.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $175.40 / $862.09	Facility		$175.40	$175.40	$862.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $70.16 / $114.01	Professional		$70.16	$70.16	$114.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.17 / $152.38 / $253.12	Professional		$123.17	$152.38	$253.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $327.75 / $795.67	Facility		$114.01	$327.75	$795.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.89 / $107.71 / $289.73	Professional		$86.89	$107.71	$289.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $210.48 / $259.58	Professional		$175.40	$210.48	$259.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.13 / $179.25 / $298.18	Facility		$125.13	$179.25	$298.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $225.00 / $414.29	Professional		$175.00	$225.00	$414.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $131.55 / $201.71 / $9,929.00	Facility		$131.55	$201.71	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $201.71 / $9,929.00	Professional		$131.55	$201.71	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $91.21 / $228.02	Professional		$73.67	$91.21	$228.02