Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.24 / $350.04 / $676.13	Facility		$121.24	$350.04	$676.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $102.34 / $146.36	Professional		$75.59	$102.34	$146.36
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 $85.58 / $85.58 / $134.40	Professional		$85.58	$85.58	$134.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $250.32 / $775.90	Professional		$128.37	$250.32	$775.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $316.99 / $731.36	Facility		$92.71	$316.99	$731.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $101.46 / $253.85	Professional		$70.62	$101.46	$253.85
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 $118.74 / $215.23 / $300.16	Facility		$118.74	$215.23	$300.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $192.00 / $336.46	Professional		$142.63	$192.00	$336.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $116.96 / $164.02 / $4,071.00	Facility		$116.96	$164.02	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $116.96 / $164.24 / $4,071.00	Professional		$116.96	$164.24	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $74.06 / $194.16	Professional		$59.90	$74.06	$194.16