Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.31 / $514.98 / $902.77	Facility		$197.31	$514.98	$902.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $171.31 / $197.31	Professional		$156.69	$171.31	$197.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.92 / $208.92 / $1,026.83	Facility		$208.92	$208.92	$1,026.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.17 / $103.17 / $157.16	Professional		$103.17	$103.17	$157.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $229.81 / $448.13 / $1,639.79	Professional		$229.81	$448.13	$1,639.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.80 / $460.50 / $1,070.23	Facility		$135.80	$460.50	$1,070.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $139.90 / $413.23	Professional		$104.49	$139.90	$413.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.92 / $250.70 / $309.20	Professional		$208.92	$250.70	$309.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $197.31 / $324.82 / $458.53	Facility		$197.31	$324.82	$458.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $358.00 / $501.41	Professional		$209.00	$358.00	$501.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $190.35 / $251.12 / $9,929.00	Facility		$190.35	$251.12	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $198.62 / $251.12 / $9,929.00	Professional		$198.62	$251.12	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $250.70 / $250.70 / $250.70	Facility		$250.70	$250.70	$250.70
United Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $125.35 / $327.77	Professional		$87.75	$125.35	$327.77