Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.94 / $288.14 / $478.34	Facility		$144.94	$288.14	$478.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $158.47 / $164.26	Professional		$144.94	$158.47	$164.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $193.25 / $949.82	Facility		$193.25	$193.25	$949.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $77.30 / $125.61	Professional		$77.30	$77.30	$125.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $154.60 / $301.47	Professional		$154.60	$154.60	$301.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $359.51 / $989.67	Facility		$125.61	$359.51	$989.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.11 / $119.34 / $317.36	Professional		$94.11	$119.34	$317.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $231.90 / $286.01	Professional		$193.25	$231.90	$286.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $153.63 / $192.18 / $300.60	Facility		$153.63	$192.18	$300.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $265.00 / $463.80	Professional		$190.00	$265.00	$463.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $160.27 / $210.64 / $4,071.00	Facility		$160.27	$210.64	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $160.27 / $210.64 / $4,071.00	Professional		$160.27	$210.64	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $110.15 / $222.24	Professional		$81.17	$110.15	$222.24