Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.43 / $231.97 / $452.21	Facility		$115.43	$231.97	$452.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.67 / $108.78 / $128.44	Professional		$91.67	$108.78	$128.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $122.22 / $600.71	Facility		$122.22	$122.22	$600.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $60.36 / $96.46	Professional		$60.36	$60.36	$96.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $134.44 / $262.16	Professional		$122.22	$134.44	$262.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.44 / $228.37 / $625.71	Facility		$79.44	$228.37	$625.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $75.48 / $229.34	Professional		$62.08	$75.48	$229.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $146.66 / $180.89	Professional		$122.22	$146.66	$180.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.75 / $156.16 / $230.86	Facility		$101.75	$156.16	$230.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $211.00 / $293.33	Professional		$122.00	$211.00	$293.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $148.72 / $4,071.00	Facility		$110.00	$148.72	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $111.10 / $148.72 / $4,071.00	Professional		$111.10	$148.72	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $67.90 / $173.52	Professional		$51.33	$67.90	$173.52