Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $181.97 / $467.74	Facility		$147.91	$181.97	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $309.03	Professional		$151.36	$190.55	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $398.11	Facility		$371.54	$371.54	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $446.68	Professional		$218.78	$218.78	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $257.04	Professional		$194.98	$194.98	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $245.47 / $245.47	Facility		$158.49	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $245.47	Professional		$177.83	$177.83	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $524.81	Professional		$263.03	$371.54	$524.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $363.08	Professional		$208.93	$245.47	$363.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $257.04 / $478.63	Facility		$151.36	$257.04	$478.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $213.80 / $467.74	Professional		$199.53	$213.80	$467.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $302.00 / $1,071.52	Facility		$199.53	$302.00	$1,071.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $1,071.52	Professional		$199.53	$302.00	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $173.78 / $478.63	Facility		$120.23	$173.78	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $181.97 / $295.12	Professional		$165.96	$181.97	$295.12