Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.64 / $184.52 / $323.74	Facility		$82.64	$184.52	$323.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $79.72 / $82.64	Professional		$72.92	$79.72	$82.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.22 / $97.22 / $477.84	Facility		$97.22	$97.22	$477.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $38.89 / $63.19	Professional		$38.89	$38.89	$63.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $151.66 / $374.44	Professional		$77.78	$151.66	$374.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.19 / $181.65 / $440.88	Facility		$63.19	$181.65	$440.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $59.03 / $160.53	Professional		$47.97	$59.03	$160.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $116.66 / $143.88	Professional		$97.22	$116.66	$143.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.64 / $130.27 / $175.88	Facility		$82.64	$130.27	$175.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $136.00 / $233.33	Professional		$97.00	$136.00	$233.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $79.72 / $116.86 / $9,929.00	Facility		$79.72	$116.86	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $79.72 / $116.86 / $9,929.00	Professional		$79.72	$116.86	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $58.33 / $132.34	Professional		$40.83	$58.33	$132.34