Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.59 / $331.79 / $582.11	Facility		$148.59	$331.79	$582.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.11 / $148.59 / $174.81	Professional		$131.11	$148.59	$174.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $859.19	Facility		$174.81	$174.81	$859.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $69.92 / $113.62	Professional		$69.92	$69.92	$113.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $139.85 / $272.70	Professional		$139.85	$139.85	$272.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.63 / $326.64 / $895.75	Facility		$113.63	$326.64	$895.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.56 / $106.14 / $288.61	Professional		$82.56	$106.14	$288.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $209.77 / $258.72	Professional		$174.81	$209.77	$258.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $145.53 / $201.03 / $300.67	Facility		$145.53	$201.03	$300.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $245.00 / $419.54	Professional		$174.81	$245.00	$419.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $143.08 / $195.79 / $4,071.00	Facility		$143.08	$195.79	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $143.08 / $195.79 / $4,071.00	Professional		$143.08	$195.79	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $104.89 / $174.81 / $209.77	Facility		$104.89	$174.81	$209.77
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $90.90 / $201.03	Professional		$73.42	$90.90	$201.03