Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.84 / $351.36 / $662.73	Facility		$138.84	$351.36	$662.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.84 / $151.80 / $157.35	Professional		$138.84	$151.80	$157.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.12 / $185.12 / $909.86	Facility		$185.12	$185.12	$909.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $74.05 / $120.32	Professional		$74.05	$74.05	$120.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $203.63 / $397.08 / $8,046.50	Professional		$203.63	$397.08	$8,046.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.33 / $457.93 / $981.74	Facility		$120.33	$457.93	$981.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.32 / $112.31 / $329.68	Professional		$91.32	$112.31	$329.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.12 / $222.14 / $273.98	Professional		$185.12	$222.14	$273.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.11 / $212.89 / $314.70	Facility		$154.11	$212.89	$314.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $254.00 / $444.29	Professional		$185.00	$254.00	$444.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $151.80 / $222.51 / $9,929.00	Facility		$151.80	$222.51	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $222.51 / $9,929.00	Professional		$151.80	$222.51	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $92.56 / $212.89	Professional		$77.75	$92.56	$212.89