Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.80 / $435.35 / $742.17	Facility		$195.80	$435.35	$742.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $169.99 / $195.80	Professional		$155.47	$169.99	$195.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $207.31 / $1,018.93	Facility		$207.31	$207.31	$1,018.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $102.38 / $155.96	Professional		$102.38	$102.38	$155.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.83 / $207.31 / $277.08	Professional		$134.83	$207.31	$277.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $456.89 / $1,061.83	Facility		$134.75	$456.89	$1,061.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.67 / $138.85 / $410.02	Professional		$103.67	$138.85	$410.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $248.77 / $306.82	Professional		$207.31	$248.77	$306.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.27 / $229.09 / $391.60	Facility		$120.27	$229.09	$391.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $355.00 / $489.74	Professional		$207.00	$355.00	$489.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $186.58 / $251.08 / $9,929.00	Facility		$186.58	$251.08	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $188.89 / $251.08 / $9,929.00	Professional		$188.89	$251.08	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $138.21 / $207.31 / $339.40	Facility		$138.21	$207.31	$339.40
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $118.79 / $282.83	Professional		$87.07	$118.79	$282.83