Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.41 / $333.43 / $568.23	Facility		$144.41	$333.43	$568.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.15 / $132.52 / $151.21	Professional		$101.15	$132.52	$151.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.90 / $169.90 / $835.06	Facility		$169.90	$169.90	$835.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $67.95 / $110.43	Professional		$67.95	$67.95	$110.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $135.91 / $265.04 / $699.42	Professional		$135.91	$265.04	$699.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.44 / $317.48 / $770.43	Facility		$110.44	$317.48	$770.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $103.05 / $280.22	Professional		$75.31	$103.05	$280.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $203.88 / $251.45	Professional		$169.90	$203.88	$251.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $135.08 / $164.71 / $264.29	Facility		$135.08	$164.71	$264.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $178.40 / $400.92	Professional		$160.00	$178.40	$400.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $118.93 / $185.19 / $9,929.00	Facility		$118.93	$185.19	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $118.93 / $190.29 / $9,929.00	Professional		$118.93	$190.29	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $77.42 / $149.51	Professional		$54.19	$77.42	$149.51