Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.41 / $351.51 / $887.66	Facility		$157.41	$351.51	$887.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $144.46 / $157.41	Professional		$96.30	$144.46	$157.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $185.20 / $910.26	Facility		$185.20	$185.20	$910.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $74.08 / $120.38	Professional		$74.08	$74.08	$120.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $148.16 / $288.91	Professional		$148.16	$148.16	$288.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $345.00 / $949.42	Facility		$120.38	$345.00	$949.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $114.42 / $304.19	Professional		$90.20	$114.42	$304.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $222.24 / $274.10	Professional		$185.20	$222.24	$274.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.22 / $184.18 / $288.08	Facility		$147.22	$184.18	$288.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $254.00 / $444.48	Professional		$182.00	$254.00	$444.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $153.60 / $201.87 / $4,071.00	Facility		$153.60	$201.87	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $210.57 / $4,071.00	Professional		$153.60	$210.57	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $222.24 / $222.24 / $222.24	Facility		$222.24	$222.24	$222.24
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $92.60 / $240.76	Professional		$77.78	$92.60	$240.76