Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.24 / $325.61 / $922.61	Facility		$121.24	$325.61	$922.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $103.88 / $121.24	Professional		$92.71	$103.88	$121.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $701.03	Facility		$142.63	$142.63	$701.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $57.05 / $92.70	Professional		$57.05	$57.05	$92.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $128.37 / $250.32	Professional		$114.10	$128.37	$250.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $265.52 / $731.36	Facility		$92.71	$265.52	$731.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $88.11 / $234.30	Professional		$69.48	$88.11	$234.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $171.16 / $211.09	Professional		$142.63	$171.16	$211.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.39 / $142.63 / $221.87	Facility		$113.39	$142.63	$221.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $195.00 / $342.31	Professional		$140.00	$195.00	$342.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $118.29 / $155.47 / $4,071.00	Facility		$118.29	$155.47	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $118.29 / $162.16 / $4,071.00	Professional		$118.29	$162.16	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $71.31 / $164.02	Professional		$59.90	$71.31	$164.02