Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $257.04 / $524.81	Facility		$117.49	$257.04	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $354.81	Professional		$117.49	$158.49	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $316.23	Facility		$295.12	$295.12	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $331.13	Professional		$158.49	$158.49	$331.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $204.17	Professional		$177.83	$177.83	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $173.78 / $173.78	Facility		$125.89	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $173.78	Professional		$128.82	$128.82	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $416.87	Professional		$208.93	$295.12	$416.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $194.98	Professional		$147.91	$194.98	$194.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $363.08	Facility		$117.49	$194.98	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $371.54	Professional		$158.49	$204.17	$371.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $251.19 / $851.14	Facility		$165.96	$251.19	$851.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $851.14	Professional		$165.96	$251.19	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $131.83 / $426.58	Facility		$89.13	$131.83	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $144.54 / $234.42	Professional		$131.83	$144.54	$234.42