Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $152.54 / $303.00	Facility		$75.91	$152.54	$303.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $65.90 / $75.91	Professional		$60.28	$65.90	$75.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $80.37 / $391.40	Facility		$80.37	$80.37	$391.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $13.23 / $48.62	Professional		$13.23	$13.23	$48.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $237.93 / $363.63 / $544.32	Professional		$237.93	$363.63	$544.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.16 / $207.39 / $410.98	Facility		$56.16	$207.39	$410.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $52.85 / $92.10	Professional		$15.84	$52.85	$92.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.44 / $100.46 / $118.95	Professional		$96.44	$100.46	$118.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.53 / $58.53 / $75.91	Facility		$58.53	$58.53	$75.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $146.00 / $197.00	Professional		$110.46	$146.00	$197.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $56.26 / $105.45 / $4,071.00	Facility		$56.26	$105.45	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $56.26 / $104.88 / $4,071.00	Professional		$56.26	$104.88	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $48.22 / $92.64	Professional		$33.76	$48.22	$92.64