Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.55 / $261.52 / $434.17	Facility		$131.55	$261.52	$434.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $143.83 / $149.09	Professional		$131.55	$143.83	$149.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $175.40 / $862.09	Facility		$175.40	$175.40	$862.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $70.16 / $114.01	Professional		$70.16	$70.16	$114.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $140.32 / $273.62	Professional		$140.32	$140.32	$273.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $326.70 / $899.13	Facility		$114.01	$326.70	$899.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.45 / $108.43 / $288.14	Professional		$85.45	$108.43	$288.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $210.48 / $259.58	Professional		$175.40	$210.48	$259.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $174.44 / $272.83	Facility		$139.44	$174.44	$272.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $240.00 / $420.96	Professional		$173.00	$240.00	$420.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $145.46 / $191.19 / $4,071.00	Facility		$145.46	$191.19	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $145.46 / $191.19 / $4,071.00	Professional		$145.46	$191.19	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $105.24 / $175.40 / $210.48	Facility		$105.24	$175.40	$210.48
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $91.21 / $201.71	Professional		$73.67	$91.21	$201.71