Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.90 / $444.13 / $779.22	Facility		$198.90	$444.13	$779.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $191.88 / $198.90	Professional		$175.50	$191.88	$198.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $234.00 / $1,150.10	Facility		$234.00	$234.00	$1,150.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $93.60 / $150.44	Professional		$93.60	$93.60	$150.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.18 / $211.54 / $365.04	Professional		$181.18	$211.54	$365.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.10 / $435.82 / $1,061.38	Facility		$152.10	$435.82	$1,061.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.31 / $142.13 / $386.49	Professional		$115.31	$142.13	$386.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $280.80 / $346.32	Professional		$234.00	$280.80	$346.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $198.90 / $226.84 / $397.80	Facility		$198.90	$226.84	$397.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $321.00 / $561.60	Professional		$230.00	$321.00	$561.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $191.88 / $281.27 / $9,929.00	Facility		$191.88	$281.27	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $191.88 / $281.27 / $9,929.00	Professional		$191.88	$281.27	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $98.28 / $98.28 / $98.28	Facility		$98.28	$98.28	$98.28
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $121.68 / $269.10	Professional		$98.28	$121.68	$269.10