Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.56 / $320.29 / $604.13	Facility		$126.56	$320.29	$604.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.56 / $138.38 / $143.44	Professional		$126.56	$138.38	$143.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.75 / $168.75 / $829.41	Facility		$168.75	$168.75	$829.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $67.50 / $108.49	Professional		$67.50	$67.50	$108.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $152.55 / $276.32	Professional		$135.00	$152.55	$276.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.69 / $291.55 / $764.49	Facility		$109.69	$291.55	$764.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.15 / $102.44 / $278.54	Professional		$83.15	$102.44	$278.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $202.50 / $249.75	Professional		$168.75	$202.50	$249.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.47 / $194.06 / $286.88	Facility		$140.47	$194.06	$286.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $236.00 / $405.00	Professional		$168.75	$236.00	$405.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $138.38 / $202.84 / $9,929.00	Facility		$138.38	$202.84	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $202.84 / $9,929.00	Professional		$138.38	$202.84	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $87.75 / $194.06	Professional		$70.88	$87.75	$194.06