Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.47 / $393.47 / $742.17	Facility		$155.47	$393.47	$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 $228.04 / $444.68 / $1,898.12	Professional		$228.04	$444.68	$1,898.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $513.29 / $1,088.02	Facility		$134.75	$513.29	$1,088.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.67 / $154.69 / $592.99	Professional		$103.67	$154.69	$592.99
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 $195.80 / $413.94 / $727.86	Facility		$195.80	$413.94	$727.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $435.35 / $564.00	Professional		$207.00	$435.35	$564.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $186.58 / $272.01 / $9,929.00	Facility		$186.58	$272.01	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $188.89 / $272.01 / $9,929.00	Professional		$188.89	$272.01	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $165.85 / $431.39	Professional		$87.07	$165.85	$431.39