Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $191.93 / $362.01	Facility		$75.84	$191.93	$362.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $85.95 / $284.45	Professional		$75.84	$85.95	$284.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.12 / $101.12 / $497.00	Facility		$101.12	$101.12	$497.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $40.45 / $65.72	Professional		$40.45	$40.45	$65.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $111.23 / $216.90 / $1,250.60	Professional		$111.23	$216.90	$1,250.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.73 / $223.03 / $458.70	Facility		$65.73	$223.03	$458.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.93 / $61.30 / $166.68	Professional		$49.93	$61.30	$166.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $121.34 / $149.66	Professional		$101.12	$121.34	$149.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.95 / $135.50 / $445.90	Facility		$85.95	$135.50	$445.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $142.00 / $242.69	Professional		$101.00	$142.00	$242.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $82.92 / $121.55 / $9,929.00	Facility		$82.92	$121.55	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $121.55 / $9,929.00	Professional		$82.92	$121.55	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $50.56 / $116.29	Professional		$42.47	$50.56	$116.29