Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.67 / $256.66 / $437.55	Facility		$91.67	$256.66	$437.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.67 / $111.74 / $208.38	Professional		$91.67	$111.74	$208.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $122.22 / $600.71	Facility		$122.22	$122.22	$600.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $60.36 / $92.00	Professional		$60.36	$60.36	$92.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.44 / $213.36 / $442.82	Professional		$134.44	$213.36	$442.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.44 / $269.22 / $625.71	Facility		$79.44	$269.22	$625.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $81.83 / $241.64	Professional		$61.09	$81.83	$241.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $146.66 / $180.89	Professional		$122.22	$146.66	$180.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.43 / $211.24 / $404.80	Facility		$115.43	$211.24	$404.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $210.00 / $293.33	Professional		$122.00	$210.00	$293.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $111.36 / $146.91 / $9,929.00	Facility		$111.36	$146.91	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $116.19 / $146.91 / $9,929.00	Professional		$116.19	$146.91	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $122.22 / $122.22	Facility		$122.22	$122.22	$122.22
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $73.33 / $166.74	Professional		$51.33	$73.33	$166.74