Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $107.15 / $275.42	Facility		$87.10	$107.15	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $177.83	Professional		$85.11	$107.15	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $234.42	Facility		$223.87	$223.87	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $234.42	Professional		$112.20	$112.20	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $151.36	Professional		$131.83	$131.83	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $117.49 / $117.49	Facility		$97.72	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $117.49	Professional		$85.11	$85.11	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $309.03	Professional		$154.88	$223.87	$309.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $151.36	Professional		$93.33	$147.91	$151.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $144.54 / $269.15	Facility		$89.13	$144.54	$269.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $275.42	Professional		$114.82	$120.23	$275.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $190.55 / $758.58	Facility		$120.23	$190.55	$758.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $758.58	Professional		$120.23	$190.55	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $91.20 / $295.12	Facility		$63.10	$91.20	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $173.78	Professional		$93.33	$109.65	$173.78