Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.73 / $199.48 / $316.31	Facility		$80.73	$199.48	$316.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $77.89 / $80.73	Professional		$71.23	$77.89	$80.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.99 / $94.99 / $466.88	Facility		$94.99	$94.99	$466.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.00 / $61.74	Professional		$38.00	$38.00	$61.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $203.76 / $632.98	Professional		$104.49	$203.76	$632.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.74 / $161.79 / $430.49	Facility		$61.74	$161.79	$430.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $57.59 / $156.61	Professional		$46.91	$57.59	$156.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $113.99 / $140.59	Professional		$94.99	$113.99	$140.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.73 / $127.29 / $272.08	Facility		$80.73	$127.29	$272.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $133.00 / $227.98	Professional		$94.99	$133.00	$227.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.89 / $114.18 / $9,929.00	Facility		$77.89	$114.18	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.89 / $114.18 / $9,929.00	Professional		$77.89	$114.18	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $49.39 / $109.24	Professional		$39.90	$49.39	$109.24