Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.57 / $245.56 / $578.34	Facility		$86.57	$245.56	$578.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $75.16 / $98.05	Professional		$62.33	$75.16	$98.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $91.66 / $450.51	Facility		$91.66	$91.66	$450.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $45.27 / $69.00	Professional		$45.27	$45.27	$69.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $124.54 / $251.37	Professional		$91.66	$124.54	$251.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.58 / $202.10 / $469.67	Facility		$59.58	$202.10	$469.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $61.42 / $181.23	Professional		$45.86	$61.42	$181.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $109.99 / $135.66	Professional		$91.66	$109.99	$135.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $122.00 / $173.14	Facility		$88.00	$122.00	$173.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $157.00 / $216.19	Professional		$92.00	$157.00	$216.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.52 / $111.37 / $7,420.00	Facility		$83.52	$111.37	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.14 / $114.58 / $9,929.00	Professional		$87.14	$114.58	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $91.66 / $187.59	Facility		$91.66	$91.66	$187.59
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $55.00 / $125.06	Professional		$38.50	$55.00	$125.06