Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.10 / $628.37 / $4,434.39	Facility		$203.10	$628.37	$4,434.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.80 / $203.10 / $233.07	Professional		$174.80	$203.10	$233.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.07 / $233.07 / $1,145.54	Facility		$233.07	$233.07	$1,145.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $106.20 / $161.88	Professional		$106.20	$106.20	$161.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $233.07 / $424.95 / $881.98	Professional		$233.07	$424.95	$881.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.50 / $511.54 / $1,194.32	Facility		$151.50	$511.54	$1,194.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.41 / $144.05 / $425.44	Professional		$115.41	$144.05	$425.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.07 / $279.68 / $344.94	Professional		$233.07	$279.68	$344.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $215.29 / $371.67 / $415.71	Facility		$215.29	$371.67	$415.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $369.00 / $550.27	Professional		$233.00	$369.00	$550.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $204.56 / $276.72 / $9,929.00	Facility		$204.56	$276.72	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $207.78 / $280.14 / $9,929.00	Professional		$207.78	$280.14	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $132.02 / $317.27	Professional		$97.89	$132.02	$317.27