Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.48 / $236.57 / $446.21	Facility		$93.48	$236.57	$446.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $105.94 / $110.93	Professional		$93.48	$105.94	$110.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $124.64 / $612.61	Facility		$124.64	$124.64	$612.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $49.86 / $81.01	Professional		$49.86	$49.86	$81.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $176.15 / $365.60	Professional		$99.71	$176.15	$365.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.02 / $275.00 / $639.13	Facility		$81.02	$275.00	$639.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $75.59 / $182.01	Professional		$40.72	$75.59	$182.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $149.57 / $184.47	Professional		$124.64	$149.57	$184.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.09 / $140.22 / $207.73	Facility		$99.09	$140.22	$207.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $129.63 / $294.00	Professional		$103.00	$129.63	$294.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.13 / $147.99 / $9,929.00	Facility		$95.13	$147.99	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $149.82 / $9,929.00	Professional		$95.13	$149.82	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.62 / $56.49 / $121.18	Professional		$42.62	$56.49	$121.18