Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $158.49 / $158.49	Facility		$144.54	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $186.21	Professional		$131.83	$154.88	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $275.42	Professional		$138.04	$194.98	$275.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $165.96 / $177.83	Professional		$147.91	$165.96	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $309.03 / $478.63	Facility		$234.42	$309.03	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $302.00	Professional		$83.18	$158.49	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $213.80	Professional		$144.54	$181.97	$213.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $147.91	Professional		$97.72	$97.72	$147.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $154.88 / $223.87	Facility		$109.65	$154.88	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $169.82 / $7,413.10	Facility		$81.28	$169.82	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $169.82 / $7,413.10	Professional		$81.28	$169.82	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $794.33 / $2,511.89	Facility		$707.95	$794.33	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $251.19	Professional		$89.13	$141.25	$251.19