Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.11 / $331.79 / $625.82	Facility		$131.11	$331.79	$625.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.11 / $143.34 / $148.59	Professional		$131.11	$143.34	$148.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $859.19	Facility		$174.81	$174.81	$859.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $69.92 / $113.62	Professional		$69.92	$69.92	$113.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $160.41 / $299.07	Professional		$139.85	$160.41	$299.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.63 / $326.64 / $792.70	Facility		$113.63	$326.64	$792.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $106.14 / $288.61	Professional		$85.88	$106.14	$288.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $209.77 / $258.72	Professional		$174.81	$209.77	$258.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $149.69 / $175.08 / $297.18	Facility		$149.69	$175.08	$297.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $220.00 / $412.70	Professional		$174.81	$220.00	$412.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $145.90 / $201.03 / $9,929.00	Facility		$145.90	$201.03	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $152.08 / $203.27 / $9,929.00	Professional		$152.08	$203.27	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $87.54 / $227.25	Professional		$73.42	$87.54	$227.25