Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.75 / $285.33 / $463.02	Facility		$112.75	$285.33	$463.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.75 / $127.78 / $170.89	Professional		$112.75	$127.78	$170.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $150.33 / $738.87	Facility		$150.33	$150.33	$738.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $60.13 / $97.71	Professional		$60.13	$60.13	$97.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $165.36 / $322.45	Professional		$150.33	$165.36	$322.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.71 / $280.02 / $769.92	Facility		$97.71	$280.02	$769.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.22 / $92.82 / $246.90	Professional		$73.22	$92.82	$246.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $180.40 / $222.49	Professional		$150.33	$180.40	$222.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.52 / $149.50 / $233.84	Facility		$119.52	$149.50	$233.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $206.00 / $360.79	Professional		$148.00	$206.00	$360.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $124.68 / $163.86 / $4,071.00	Facility		$124.68	$163.86	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $124.68 / $170.93 / $4,071.00	Professional		$124.68	$170.93	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $78.17 / $172.88	Professional		$63.14	$78.17	$172.88