Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.78 / $330.73 / $463.02	Facility		$127.78	$330.73	$463.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.75 / $123.27 / $133.79	Professional		$112.75	$123.27	$133.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $150.33 / $738.87	Facility		$150.33	$150.33	$738.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $60.13 / $97.71	Professional		$60.13	$60.13	$97.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.36 / $322.45 / $1,331.70	Professional		$165.36	$322.45	$1,331.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.71 / $280.02 / $681.36	Facility		$97.71	$280.02	$681.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $91.33 / $248.34	Professional		$74.09	$91.33	$248.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $180.40 / $222.49	Professional		$150.33	$180.40	$222.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $127.78 / $195.43 / $356.72	Facility		$127.78	$195.43	$356.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $210.00 / $360.79	Professional		$150.00	$210.00	$360.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $107.19 / $178.49 / $9,929.00	Facility		$107.19	$178.49	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $178.49 / $9,929.00	Professional		$107.19	$178.49	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $78.17 / $172.88	Professional		$63.14	$78.17	$172.88