Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.80 / $301.77 / $623.39	Facility		$151.80	$301.77	$623.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $165.97 / $172.04	Professional		$151.80	$165.97	$172.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $202.40 / $994.80	Facility		$202.40	$202.40	$994.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $80.95 / $131.56	Professional		$80.95	$80.95	$131.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $222.64 / $434.15	Professional		$202.40	$222.64	$434.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $378.20 / $1,036.68	Facility		$131.56	$378.20	$1,036.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.47 / $122.80 / $333.92	Professional		$95.47	$122.80	$333.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $242.88 / $299.55	Professional		$202.40	$242.88	$299.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $168.50 / $232.76 / $348.13	Facility		$168.50	$232.76	$348.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $283.00 / $485.76	Professional		$202.00	$283.00	$485.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $165.44 / $226.69 / $4,071.00	Facility		$165.44	$226.69	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $165.44 / $226.69 / $4,071.00	Professional		$165.44	$226.69	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $105.25 / $275.52	Professional		$85.01	$105.25	$275.52