Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.31 / $284.76 / $656.96	Facility		$181.31	$284.76	$656.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.97 / $174.91 / $181.31	Professional		$159.97	$174.91	$181.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.30 / $213.30 / $1,048.36	Facility		$213.30	$213.30	$1,048.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $85.32 / $138.63	Professional		$85.32	$85.32	$138.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $170.64 / $332.75 / $1,558.00	Professional		$170.64	$332.75	$1,558.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.65 / $396.72 / $966.38	Facility		$138.65	$396.72	$966.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.12 / $129.38 / $351.82	Professional		$91.12	$129.38	$351.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.30 / $255.96 / $315.68	Professional		$213.30	$255.96	$315.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.58 / $239.97 / $362.62	Facility		$169.58	$239.97	$362.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $221.57 / $503.90	Professional		$188.00	$221.57	$503.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $149.31 / $238.90 / $9,929.00	Facility		$149.31	$238.90	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $149.31 / $238.90 / $9,929.00	Professional		$149.31	$238.90	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $93.85 / $187.70	Professional		$63.72	$93.85	$187.70