Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.56 / $328.68 / $646.05	Facility		$163.56	$328.68	$646.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $154.12 / $163.56	Professional		$129.88	$154.12	$163.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.17 / $173.17 / $851.13	Facility		$173.17	$173.17	$851.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.52 / $85.52 / $137.46	Professional		$85.52	$85.52	$137.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $337.68 / $915.11	Professional		$173.17	$337.68	$915.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.61 / $381.82 / $786.23	Facility		$202.61	$381.82	$786.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.12 / $122.10 / $317.45	Professional		$90.12	$122.10	$317.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $207.80 / $316.27	Professional		$173.17	$207.80	$316.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.44 / $271.54 / $399.01	Facility		$158.44	$271.54	$399.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $299.00 / $408.79	Professional		$180.00	$299.00	$408.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $155.36 / $216.46 / $4,071.00	Facility		$155.36	$216.46	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $155.36 / $216.01 / $7,420.00	Professional		$155.36	$216.01	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $159.32 / $343.17	Professional		$103.90	$159.32	$343.17