Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.68 / $367.18 / $551.14	Facility		$140.68	$367.18	$551.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.13 / $135.72 / $140.68	Professional		$124.13	$135.72	$140.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.51 / $165.51 / $813.48	Facility		$165.51	$165.51	$813.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $66.20 / $107.57	Professional		$66.20	$66.20	$107.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $232.92 / $483.43	Professional		$132.41	$232.92	$483.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.58 / $309.26 / $749.65	Facility		$107.58	$309.26	$749.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $100.38 / $272.95	Professional		$81.48	$100.38	$272.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.51 / $198.61 / $244.95	Professional		$165.51	$198.61	$244.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.96 / $198.61 / $281.36	Facility		$148.96	$198.61	$281.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $209.00 / $390.70	Professional		$166.00	$209.00	$390.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $123.64 / $189.70 / $9,929.00	Facility		$123.64	$189.70	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $123.64 / $189.70 / $9,929.00	Professional		$123.64	$189.70	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $198.61 / $198.61 / $198.61	Facility		$198.61	$198.61	$198.61
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $86.07 / $190.81	Professional		$69.51	$86.07	$190.81