Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $229.09 / $467.74	Facility		$89.13	$229.09	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $144.54	Professional		$83.18	$102.33	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $478.63	Facility		$120.23	$120.23	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $85.11	Professional		$47.86	$47.86	$85.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.11 / $97.72	Professional		$19.50	$33.11	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $234.42 / $549.54	Facility		$104.71	$234.42	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.44 / $173.78	Professional		$58.88	$72.44	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $169.82	Professional		$120.23	$131.83	$169.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $131.83 / $204.17	Facility		$95.50	$131.83	$204.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $251.19	Professional		$77.62	$77.62	$251.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $158.49 / $10,000.00	Facility		$102.33	$158.49	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $10,000.00	Professional		$102.33	$158.49	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $120.23 / $144.54	Facility		$72.44	$120.23	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $138.04	Professional		$50.12	$60.26	$138.04