Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.15 / $167.40 / $315.76	Facility		$66.15	$167.40	$315.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $72.31 / $74.97	Professional		$66.15	$72.31	$74.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.20 / $88.20 / $433.50	Facility		$88.20	$88.20	$433.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $35.28 / $57.33	Professional		$35.28	$35.28	$57.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $102.46 / $212.65	Professional		$70.56	$102.46	$212.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.33 / $150.54 / $399.32	Facility		$57.33	$150.54	$399.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.53 / $53.48 / $145.41	Professional		$43.53	$53.48	$145.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $105.84 / $130.54	Professional		$88.20	$105.84	$130.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.97 / $114.66 / $149.94	Facility		$74.97	$114.66	$149.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $123.00 / $211.68	Professional		$88.00	$123.00	$211.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $72.31 / $106.02 / $9,929.00	Facility		$72.31	$106.02	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $106.02 / $9,929.00	Professional		$72.31	$106.02	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $44.10 / $95.08	Professional		$37.04	$44.10	$95.08