Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $309.03 / $616.60	Facility		$151.36	$309.03	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $239.88	Professional		$134.90	$162.18	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $812.83	Facility		$204.17	$204.17	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $144.54	Professional		$81.28	$81.28	$144.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $204.17	Professional		$173.78	$186.21	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $501.19 / $1,047.13	Facility		$204.17	$501.19	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $309.03	Professional		$95.50	$123.03	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $223.87 / $281.84	Professional		$204.17	$223.87	$281.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $223.87 / $346.74	Facility		$162.18	$223.87	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $426.58	Professional		$131.83	$131.83	$426.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $239.88 / $10,000.00	Facility		$165.96	$239.88	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $10,000.00	Professional		$165.96	$239.88	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $204.17 / $245.47	Facility		$120.23	$204.17	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $234.42	Professional		$85.11	$102.33	$234.42