Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.93 / $377.21 / $612.12	Facility		$168.93	$377.21	$612.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.06 / $168.93 / $198.74	Professional		$149.06	$168.93	$198.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.74 / $198.74 / $967.86	Facility		$198.74	$198.74	$967.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $31.98 / $120.23	Professional		$31.98	$31.98	$120.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $475.66 / $726.96 / $1,088.19	Professional		$475.66	$726.96	$1,088.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $290.17 / $644.52	Facility		$79.95	$290.17	$644.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $60.16 / $207.38	Professional		$59.04	$60.16	$207.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.49 / $248.43 / $294.14	Professional		$238.49	$248.43	$294.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.74 / $160.91 / $240.48	Facility		$144.74	$160.91	$240.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.52 / $166.03 / $417.35	Professional		$124.52	$166.03	$417.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $139.12 / $228.55 / $4,071.00	Facility		$139.12	$228.55	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $139.12 / $228.55 / $4,071.00	Professional		$139.12	$228.55	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $99.37 / $166.03	Professional		$69.73	$99.37	$166.03