Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.82 / $362.73 / $575.19	Facility		$146.82	$362.73	$575.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.91 / $141.63 / $146.82	Professional		$120.91	$141.63	$146.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.73 / $172.73 / $848.97	Facility		$172.73	$172.73	$848.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $73.73 / $115.80	Professional		$73.73	$73.73	$115.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $370.50 / $1,651.01	Professional		$190.00	$370.50	$1,651.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.27 / $355.20 / $857.61	Facility		$112.27	$355.20	$857.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.55 / $106.72 / $307.83	Professional		$85.55	$106.72	$307.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.73 / $207.28 / $255.64	Professional		$172.73	$207.28	$255.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $155.63 / $268.68 / $364.00	Facility		$155.63	$268.68	$364.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $256.00 / $408.00	Professional		$173.00	$256.00	$408.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $144.26 / $205.08 / $9,929.00	Facility		$144.26	$205.08	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $145.43 / $205.08 / $9,929.00	Professional		$145.43	$205.08	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $89.82 / $234.28	Professional		$72.55	$89.82	$234.28