Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $337.01 / $546.89	Facility		$133.16	$337.01	$546.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $147.37 / $150.93	Professional		$133.16	$147.37	$150.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $177.56 / $864.72	Facility		$177.56	$177.56	$864.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $71.02 / $107.42	Professional		$71.02	$71.02	$107.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $508.67 / $777.41 / $1,163.71	Professional		$508.67	$777.41	$1,163.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.74 / $439.48 / $909.17	Facility		$207.74	$439.48	$909.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $107.68 / $204.02	Professional		$80.90	$107.68	$204.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.07 / $221.95 / $262.79	Professional		$213.07	$221.95	$262.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.78 / $88.78 / $177.56	Facility		$88.78	$88.78	$177.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $110.96 / $110.96 / $372.88	Professional		$110.96	$110.96	$372.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $124.29 / $206.47 / $4,071.00	Facility		$124.29	$206.47	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $124.29 / $206.47 / $4,071.00	Professional		$124.29	$206.47	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $88.78 / $177.56	Professional		$74.58	$88.78	$177.56