Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.41 / $389.87 / $955.20	Facility		$163.41	$389.87	$955.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.12 / $122.92 / $133.25	Professional		$104.12	$122.92	$133.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.61 / $144.61 / $710.76	Facility		$144.61	$144.61	$710.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $70.62 / $113.51	Professional		$70.62	$70.62	$113.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.61 / $281.99 / $766.22	Professional		$144.61	$281.99	$766.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.20 / $329.96 / $658.43	Facility		$169.20	$329.96	$658.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $102.11 / $257.70	Professional		$71.63	$102.11	$257.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.61 / $173.53 / $264.81	Professional		$144.61	$173.53	$264.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.32 / $227.37 / $402.26	Facility		$132.32	$227.37	$402.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.41 / $246.00 / $342.00	Professional		$150.41	$246.00	$342.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $124.16 / $181.98 / $4,071.00	Facility		$124.16	$181.98	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $124.16 / $181.98 / $7,420.00	Professional		$124.16	$181.98	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $133.04 / $278.62	Professional		$86.77	$133.04	$278.62