Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.94 / $336.42 / $634.55	Facility		$132.94	$336.42	$634.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $157.75 / $177.76	Professional		$132.94	$157.75	$177.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.25 / $177.25 / $871.18	Facility		$177.25	$177.25	$871.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.53 / $87.53 / $139.88	Professional		$87.53	$87.53	$139.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $308.91 / $641.12	Professional		$194.98	$308.91	$641.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.21 / $390.48 / $907.48	Facility		$115.21	$390.48	$907.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.60 / $118.61 / $350.89	Professional		$88.60	$118.61	$350.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $212.70 / $262.33	Professional		$177.25	$212.70	$262.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $306.33 / $381.14	Facility		$167.40	$306.33	$381.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $304.00 / $418.22	Professional		$177.00	$304.00	$418.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $159.53 / $214.66 / $9,929.00	Facility		$159.53	$214.66	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $161.49 / $214.66 / $9,929.00	Professional		$161.49	$214.66	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $106.35 / $241.81	Professional		$74.45	$106.35	$241.81