Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.10 / $173.02 / $343.67	Facility		$86.10	$173.02	$343.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $75.66 / $86.10	Professional		$68.37	$75.66	$86.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.16 / $91.16 / $443.95	Facility		$91.16	$91.16	$443.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $45.02 / $55.15	Professional		$45.02	$45.02	$55.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $412.65 / $617.70	Professional		$270.00	$412.65	$617.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.70 / $235.30 / $466.34	Facility		$63.70	$235.30	$466.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.65 / $60.77 / $104.90	Professional		$51.65	$60.77	$104.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.39 / $113.95 / $134.91	Professional		$109.39	$113.95	$134.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.93 / $98.64 / $98.64	Facility		$72.93	$98.64	$98.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.30 / $128.69 / $166.00	Professional		$125.30	$128.69	$166.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $70.90 / $121.46 / $4,071.00	Facility		$70.90	$121.46	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $70.90 / $121.46 / $4,071.00	Professional		$70.90	$121.46	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $53.49 / $76.42	Professional		$38.29	$53.49	$76.42