Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.55 / $184.14 / $276.38	Facility		$70.55	$184.14	$276.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $68.06 / $70.55	Professional		$62.25	$68.06	$70.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $83.00 / $407.95	Facility		$83.00	$83.00	$407.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $33.20 / $53.36	Professional		$33.20	$33.20	$53.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $176.04 / $365.38	Professional		$91.30	$176.04	$365.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $155.10 / $375.57	Facility		$53.95	$155.10	$375.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $50.40 / $137.04	Professional		$40.86	$50.40	$137.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $99.60 / $122.84	Professional		$83.00	$99.60	$122.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.55 / $95.45 / $141.10	Facility		$70.55	$95.45	$141.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $105.00 / $195.74	Professional		$83.00	$105.00	$195.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $68.87 / $95.45 / $9,929.00	Facility		$68.87	$95.45	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $96.51 / $9,929.00	Professional		$68.87	$96.51	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $34.86 / $34.86	Facility		$34.86	$34.86	$34.86
United Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $45.96 / $112.99	Professional		$34.86	$45.96	$112.99