Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.99 / $437.15 / $2,513.16	Facility		$186.99	$437.15	$2,513.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.59 / $162.35 / $186.99	Professional		$138.59	$162.35	$186.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.99 / $197.99 / $973.12	Facility		$197.99	$197.99	$973.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.77 / $97.77 / $153.54	Professional		$97.77	$97.77	$153.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $197.99 / $231.65 / $447.61	Professional		$197.99	$231.65	$447.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $436.68 / $1,014.87	Facility		$128.69	$436.68	$1,014.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.08 / $132.51 / $392.02	Professional		$99.08	$132.51	$392.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.99 / $237.59 / $293.02	Professional		$197.99	$237.59	$293.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.07 / $319.39 / $373.98	Facility		$190.07	$319.39	$373.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $339.00 / $467.74	Professional		$198.00	$339.00	$467.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $180.39 / $237.98 / $9,929.00	Facility		$180.39	$237.98	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $188.23 / $237.98 / $9,929.00	Professional		$188.23	$237.98	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $113.45 / $270.11	Professional		$83.16	$113.45	$270.11