Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.47 / $403.87 / $688.51	Facility		$163.47	$403.87	$688.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.24 / $163.47 / $192.32	Professional		$144.24	$163.47	$192.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.32 / $192.32 / $945.25	Facility		$192.32	$192.32	$945.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.93 / $76.93 / $125.00	Professional		$76.93	$76.93	$125.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.86 / $300.02 / $702.42	Professional		$153.86	$300.02	$702.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.01 / $359.37 / $871.37	Facility		$125.01	$359.37	$871.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.88 / $116.83 / $317.70	Professional		$94.88	$116.83	$317.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.32 / $230.78 / $284.63	Professional		$192.32	$230.78	$284.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $163.47 / $216.36 / $326.94	Facility		$163.47	$216.36	$326.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $201.94 / $454.37	Professional		$192.00	$201.94	$454.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $139.37 / $215.40 / $9,929.00	Facility		$139.37	$215.40	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $139.37 / $221.17 / $9,929.00	Professional		$139.37	$221.17	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $105.25 / $261.80	Professional		$80.77	$105.25	$261.80