Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.13 / $165.05 / $327.84	Facility		$82.13	$165.05	$327.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.22 / $69.56 / $82.13	Professional		$65.22	$69.56	$82.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.96 / $86.96 / $423.50	Facility		$86.96	$86.96	$423.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $42.94 / $52.61	Professional		$42.94	$42.94	$52.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.50 / $393.53 / $589.08	Professional		$257.50	$393.53	$589.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.77 / $226.19 / $446.21	Facility		$60.77	$226.19	$446.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $57.97 / $99.95	Professional		$49.27	$57.97	$99.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $108.70 / $128.69	Professional		$104.35	$108.70	$128.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.33 / $63.33 / $82.13	Facility		$63.33	$63.33	$82.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $119.52 / $120.65 / $214.00	Professional		$119.52	$120.65	$214.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.63 / $115.87 / $4,071.00	Facility		$67.63	$115.87	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $115.87 / $4,071.00	Professional		$67.63	$115.87	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $51.39 / $72.88	Professional		$36.52	$51.39	$72.88