Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.79 / $387.71 / $675.08	Facility		$169.79	$387.71	$675.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.43 / $169.79 / $194.73	Professional		$141.43	$169.79	$194.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.57 / $188.57 / $926.82	Facility		$188.57	$188.57	$926.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.85 / $101.85 / $163.71	Professional		$101.85	$101.85	$163.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $188.57 / $367.71 / $1,105.15	Professional		$188.57	$367.71	$1,105.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.63 / $473.37 / $950.13	Facility		$220.63	$473.37	$950.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.33 / $139.87 / $359.41	Professional		$94.33	$139.87	$359.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.57 / $226.28 / $358.28	Professional		$188.57	$226.28	$358.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $179.98 / $327.00 / $524.22	Facility		$179.98	$327.00	$524.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $195.86 / $341.00 / $459.00	Professional		$195.86	$341.00	$459.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $251.25 / $4,071.00	Facility		$173.78	$251.25	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.17 / $7,420.00	Professional		$173.78	$251.17	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $226.28 / $226.28 / $226.28	Facility		$226.28	$226.28	$226.28
United Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $182.16 / $386.10	Professional		$113.14	$182.16	$386.10