Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.75 / $260.02 / $490.46	Facility		$102.75	$260.02	$490.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $112.34 / $116.45	Professional		$102.75	$112.34	$116.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $137.00 / $673.36	Facility		$137.00	$137.00	$673.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $54.80 / $89.05	Professional		$54.80	$54.80	$89.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $109.60 / $213.72	Professional		$109.60	$109.60	$213.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.05 / $255.99 / $701.19	Facility		$89.05	$255.99	$701.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.55 / $83.10 / $222.80	Professional		$64.55	$83.10	$222.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $164.40 / $202.76	Professional		$137.00	$164.40	$202.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.05 / $157.55 / $232.90	Facility		$114.05	$157.55	$232.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $234.00 / $328.80	Professional		$135.00	$234.00	$328.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $112.34 / $153.44 / $4,071.00	Facility		$112.34	$153.44	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $112.34 / $153.44 / $4,071.00	Professional		$112.34	$153.44	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $71.23 / $157.55	Professional		$57.54	$71.23	$157.55