Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.32 / $267.60 / $424.34	Facility		$108.32	$267.60	$424.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.57 / $108.32 / $114.47	Professional		$95.57	$108.32	$114.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.43 / $127.43 / $626.32	Facility		$127.43	$127.43	$626.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $54.99 / $87.87	Professional		$54.99	$54.99	$87.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $140.16 / $273.33 / $728.55	Professional		$140.16	$273.33	$728.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.83 / $265.14 / $640.19	Facility		$82.83	$265.14	$640.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $78.70 / $226.86	Professional		$63.07	$78.70	$226.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $152.91 / $188.60	Professional		$127.43	$152.91	$188.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.69 / $198.23 / $513.29	Facility		$114.69	$198.23	$513.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $191.00 / $301.08	Professional		$127.00	$191.00	$301.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $110.86 / $153.16 / $9,929.00	Facility		$110.86	$153.16	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $110.86 / $153.16 / $9,929.00	Professional		$110.86	$153.16	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $75.97 / $173.47	Professional		$53.52	$75.97	$173.47