Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.81 / $358.67 / $989.12	Facility		$116.81	$358.67	$989.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $116.81 / $219.24	Professional		$92.76	$116.81	$219.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $123.68 / $607.89	Facility		$123.68	$123.68	$607.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $61.08 / $93.10	Professional		$61.08	$61.08	$93.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $136.05 / $199.58 / $414.22	Professional		$136.05	$199.58	$414.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.39 / $272.83 / $634.05	Facility		$80.39	$272.83	$634.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.91 / $82.89 / $244.85	Professional		$61.91	$82.89	$244.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.68 / $148.41 / $183.05	Professional		$123.68	$148.41	$183.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.81 / $213.76 / $404.80	Facility		$116.81	$213.76	$404.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $212.00 / $296.83	Professional		$124.00	$212.00	$296.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $112.68 / $149.79 / $9,929.00	Facility		$112.68	$149.79	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $117.58 / $149.79 / $9,929.00	Professional		$117.58	$149.79	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $148.41 / $148.41	Facility		$148.41	$148.41	$148.41
United Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $70.87 / $168.73	Professional		$51.95	$70.87	$168.73