Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.55 / $332.91 / $627.92	Facility		$131.55	$332.91	$627.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $143.83 / $149.09	Professional		$131.55	$143.83	$149.09
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 $140.32 / $140.32 / $273.62	Professional		$140.32	$140.32	$273.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $327.75 / $899.13	Facility		$114.01	$327.75	$899.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $106.55 / $285.54	Professional		$82.73	$106.55	$285.54
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 $146.02 / $201.71 / $298.18	Facility		$146.02	$201.71	$298.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $240.00 / $420.96	Professional		$173.00	$240.00	$420.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $143.83 / $196.45 / $4,071.00	Facility		$143.83	$196.45	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $143.83 / $196.45 / $4,071.00	Professional		$143.83	$196.45	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $87.70 / $201.71	Professional		$73.67	$87.70	$201.71