Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.14 / $262.23 / $415.81	Facility		$106.14	$262.23	$415.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.65 / $102.39 / $128.94	Professional		$93.65	$102.39	$128.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.87 / $124.87 / $613.74	Facility		$124.87	$124.87	$613.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $81.16	Professional		$49.95	$49.95	$81.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $194.81 / $549.42	Professional		$99.90	$194.81	$549.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.17 / $233.34 / $565.58	Facility		$81.17	$233.34	$565.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.29 / $75.70 / $202.67	Professional		$59.29	$75.70	$202.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $149.84 / $184.81	Professional		$124.87	$149.84	$184.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.14 / $149.84 / $224.39	Facility		$106.14	$149.84	$224.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $157.00 / $294.79	Professional		$125.00	$157.00	$294.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $102.39 / $139.85 / $4,071.00	Facility		$102.39	$139.85	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $102.39 / $139.85 / $4,071.00	Professional		$102.39	$139.85	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $52.45 / $52.45 / $52.45	Facility		$52.45	$52.45	$52.45
United Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $64.93 / $169.98	Professional		$52.45	$64.93	$169.98