Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.87 / $296.97 / $414.80	Facility		$114.87	$296.97	$414.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $94.87 / $121.63	Professional		$79.06	$94.87	$121.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.63 / $121.63 / $597.80	Facility		$121.63	$121.63	$597.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $60.06 / $96.54	Professional		$60.06	$60.06	$96.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.79 / $260.89 / $728.99	Professional		$133.79	$260.89	$728.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $267.77 / $622.33	Facility		$79.06	$267.77	$622.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $82.19 / $240.35	Professional		$61.75	$82.19	$240.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.63 / $145.96 / $180.01	Professional		$121.63	$145.96	$180.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.87 / $180.82 / $283.27	Facility		$114.87	$180.82	$283.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $209.00 / $286.94	Professional		$122.00	$209.00	$286.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $115.63 / $165.68 / $4,071.00	Facility		$115.63	$165.68	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $115.81 / $165.68 / $4,071.00	Professional		$115.81	$165.68	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $72.98 / $165.68	Professional		$51.08	$72.98	$165.68