Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.94 / $331.83 / $716.78	Facility		$141.94	$331.83	$716.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.72 / $133.76 / $141.94	Professional		$112.72	$133.76	$141.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.29 / $150.29 / $738.68	Facility		$150.29	$150.29	$738.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $85.14 / $136.85	Professional		$85.14	$85.14	$136.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $293.07 / $923.87	Professional		$150.29	$293.07	$923.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.84 / $383.04 / $769.92	Facility		$175.84	$383.04	$769.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.28 / $111.38 / $300.43	Professional		$78.28	$111.38	$300.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $180.35 / $285.55	Professional		$150.29	$180.35	$285.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $145.58 / $273.00 / $417.81	Facility		$145.58	$273.00	$417.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.40 / $272.00 / $384.00	Professional		$156.40	$272.00	$384.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $142.88 / $201.54 / $4,071.00	Facility		$142.88	$201.54	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $201.54 / $7,420.00	Professional		$142.88	$201.54	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $143.90 / $307.72	Professional		$90.17	$143.90	$307.72