Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $259.52 / $707.19	Facility		$142.63	$259.52	$707.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $142.63 / $156.88	Professional		$92.71	$142.63	$156.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $542.01 / $695.00 / $877.67	Facility		$542.01	$695.00	$877.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $205.04	Professional		$142.63	$142.63	$205.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $627.57	Professional		$142.63	$142.63	$627.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $238.26 / $731.36	Facility		$92.71	$238.26	$731.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $118.50 / $244.54	Professional		$73.14	$118.50	$244.54
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 $142.63 / $182.57 / $261.01	Facility		$142.63	$182.57	$261.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $195.00 / $342.31	Professional		$142.63	$195.00	$342.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $99.84 / $142.63 / $608.66	Facility		$99.84	$142.63	$608.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $149.76 / $4,071.00	Professional		$106.97	$149.76	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $100.72 / $158.79	Professional		$85.58	$100.72	$158.79