Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.11 / $320.49 / $598.23	Facility		$123.11	$320.49	$598.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.76 / $117.30 / $123.11	Professional		$97.76	$117.30	$123.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.35 / $130.35 / $640.66	Facility		$130.35	$130.35	$640.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $64.37 / $103.46	Professional		$64.37	$64.37	$103.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.32 / $228.77 / $812.33	Professional		$117.32	$228.77	$812.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.51 / $326.88 / $667.60	Facility		$152.51	$326.88	$667.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.80 / $96.75 / $257.70	Professional		$67.80	$96.75	$257.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.35 / $156.41 / $247.67	Professional		$130.35	$156.41	$247.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.13 / $225.30 / $318.69	Facility		$125.13	$225.30	$318.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.62 / $228.00 / $333.00	Professional		$135.62	$228.00	$333.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $123.92 / $177.32 / $7,420.00	Facility		$123.92	$177.32	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $123.92 / $173.76 / $7,420.00	Professional		$123.92	$173.76	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $78.20 / $177.44	Professional		$54.75	$78.20	$177.44