Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.92 / $194.09 / $366.09	Facility		$86.92	$194.09	$366.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $83.85 / $105.61	Professional		$51.13	$83.85	$105.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.26 / $102.26 / $502.61	Facility		$102.26	$102.26	$502.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $40.90 / $66.45	Professional		$40.90	$40.90	$66.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.49 / $219.36 / $890.52	Professional		$112.49	$219.36	$890.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.47 / $251.36 / $495.08	Facility		$66.47	$251.36	$495.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $62.12 / $181.87	Professional		$50.46	$62.12	$181.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $122.71 / $151.34	Professional		$102.26	$122.71	$151.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.92 / $137.03 / $934.00	Facility		$86.92	$137.03	$934.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $143.00 / $245.42	Professional		$102.00	$143.00	$245.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $72.91 / $121.41 / $9,929.00	Facility		$72.91	$121.41	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $72.91 / $121.41 / $9,929.00	Professional		$72.91	$121.41	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $53.18 / $117.60	Professional		$42.95	$53.18	$117.60