Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.57 / $331.73 / $502.69	Facility		$202.57	$331.73	$502.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.21 / $101.90 / $108.69	Professional		$98.21	$101.90	$108.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.86 / $135.86 / $661.64	Facility		$135.86	$135.86	$661.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $67.09 / $70.37	Professional		$67.09	$67.09	$70.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $407.95 / $623.47 / $933.29	Professional		$407.95	$623.47	$933.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.93 / $345.76 / $696.12	Facility		$94.93	$345.76	$696.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.42 / $95.64 / $156.11	Professional		$76.42	$95.64	$156.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.03 / $169.83 / $201.07	Professional		$163.03	$169.83	$201.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.95 / $121.65 / $201.82	Facility		$98.95	$121.65	$201.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $186.75 / $220.00	Professional		$97.30	$186.75	$220.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $164.44 / $4,071.00	Facility		$95.10	$164.44	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $164.44 / $4,071.00	Professional		$95.10	$164.44	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $61.14 / $97.30	Professional		$40.86	$61.14	$97.30