Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $199.53 / $549.54	Facility		$67.61	$199.53	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $72.44 / $104.71	Professional		$67.61	$72.44	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $363.08	Facility		$91.20	$91.20	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $70.79	Professional		$44.67	$44.67	$70.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $645.65	Professional		$269.15	$426.58	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $234.42 / $416.87	Facility		$93.33	$234.42	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $104.71	Professional		$51.29	$60.26	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $134.90	Professional		$91.20	$109.65	$134.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $151.36 / $177.83	Professional		$75.86	$151.36	$177.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $97.72 / $97.72	Facility		$75.86	$97.72	$97.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $190.55	Professional		$75.86	$128.82	$190.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $128.82 / $10,000.00	Facility		$70.79	$128.82	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $128.82 / $10,000.00	Professional		$70.79	$128.82	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $91.20 / $109.65	Facility		$38.02	$91.20	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $95.50	Professional		$38.02	$54.95	$95.50