Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.98 / $386.24 / $626.78	Facility		$172.98	$386.24	$626.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $166.87 / $172.98	Professional		$152.63	$166.87	$172.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.50 / $203.50 / $1,000.20	Facility		$203.50	$203.50	$1,000.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $81.40 / $132.27	Professional		$81.40	$81.40	$132.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $183.15 / $357.14 / $975.30	Professional		$183.15	$357.14	$975.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.28 / $386.46 / $933.10	Facility		$132.28	$386.46	$933.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.81 / $125.72 / $346.62	Professional		$100.81	$125.72	$346.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.50 / $244.20 / $301.18	Professional		$203.50	$244.20	$301.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $183.15 / $263.44 / $374.21	Facility		$183.15	$263.44	$374.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $203.50 / $279.00 / $480.31	Professional		$203.50	$279.00	$480.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $169.67 / $241.62 / $9,929.00	Facility		$169.67	$241.62	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $177.05 / $241.62 / $9,929.00	Professional		$177.05	$241.62	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $203.50 / $203.50 / $203.50	Facility		$203.50	$203.50	$203.50
United Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $105.82 / $254.91	Professional		$85.47	$105.82	$254.91