Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $366.79 / $643.52	Facility		$164.25	$366.79	$643.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $164.26 / $177.52	Professional		$144.94	$164.26	$177.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $193.25 / $949.82	Facility		$193.25	$193.25	$949.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $77.30 / $125.61	Professional		$77.30	$77.30	$125.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $301.47 / $707.34	Professional		$154.60	$301.47	$707.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $361.09 / $875.83	Facility		$125.61	$361.09	$875.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.61 / $118.70 / $318.82	Professional		$95.61	$118.70	$318.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $231.90 / $286.01	Professional		$193.25	$231.90	$286.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $174.12 / $266.47 / $337.75	Facility		$174.12	$266.47	$337.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $248.00 / $456.74	Professional		$193.00	$248.00	$456.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $144.94 / $222.24 / $9,929.00	Facility		$144.94	$222.24	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $224.71 / $9,929.00	Professional		$144.94	$224.71	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.90 / $231.90 / $231.90	Facility		$231.90	$231.90	$231.90
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $98.74 / $227.10	Professional		$81.17	$98.74	$227.10