Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.30 / $496.68 / $946.30	Facility		$190.30	$496.68	$946.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $165.23 / $190.30	Professional		$145.66	$165.23	$190.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.50 / $201.50 / $990.37	Facility		$201.50	$201.50	$990.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $99.50 / $151.57	Professional		$99.50	$99.50	$151.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $201.50 / $250.46 / $440.92	Professional		$201.50	$250.46	$440.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.97 / $443.89 / $1,031.60	Facility		$130.97	$443.89	$1,031.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $134.97 / $398.45	Professional		$100.72	$134.97	$398.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.50 / $241.80 / $298.22	Professional		$201.50	$241.80	$298.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.86 / $222.65 / $380.60	Facility		$175.86	$222.65	$380.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $346.00 / $475.61	Professional		$202.00	$346.00	$475.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $183.58 / $242.20 / $9,929.00	Facility		$183.58	$242.20	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $191.57 / $242.20 / $9,929.00	Professional		$191.57	$242.20	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $120.90 / $274.89	Professional		$84.63	$120.90	$274.89