Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.04 / $341.26 / $623.39	Facility		$172.04	$341.26	$623.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $165.97 / $172.04	Professional		$151.80	$165.97	$172.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $202.40 / $994.80	Facility		$202.40	$202.40	$994.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $80.95 / $131.56	Professional		$80.95	$80.95	$131.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $222.64 / $434.15 / $1,756.92	Professional		$222.64	$434.15	$1,756.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $378.20 / $917.39	Facility		$131.56	$378.20	$917.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.39 / $122.80 / $333.92	Professional		$94.39	$122.80	$333.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $242.88 / $299.55	Professional		$202.40	$242.88	$299.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $182.16 / $242.88 / $344.08	Facility		$182.16	$242.88	$344.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $240.00 / $477.96	Professional		$202.40	$240.00	$477.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $165.97 / $232.77 / $9,929.00	Facility		$165.97	$232.77	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $165.97 / $232.77 / $9,929.00	Professional		$165.97	$232.77	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $85.01 / $85.01 / $85.01	Facility		$85.01	$85.01	$85.01
United Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $105.25 / $219.28	Professional		$80.09	$105.25	$219.28