Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.70 / $141.26 / $291.80	Facility		$86.70	$141.26	$291.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.06 / $86.71 / $196.38	Professional		$71.06	$86.71	$196.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.74 / $94.74 / $465.65	Facility		$94.74	$94.74	$465.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.34 / $45.34 / $72.45	Professional		$45.34	$45.34	$72.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.21 / $166.82 / $346.24	Professional		$104.21	$166.82	$346.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $208.59 / $484.77	Facility		$61.58	$208.59	$484.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.33 / $61.44 / $181.87	Professional		$47.33	$61.44	$181.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $113.69 / $140.22	Professional		$94.74	$113.69	$140.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.71 / $158.68 / $281.00	Facility		$86.71	$158.68	$281.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $157.00 / $227.38	Professional		$95.00	$157.00	$227.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $85.27 / $114.67 / $9,929.00	Facility		$85.27	$114.67	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.55 / $115.11 / $9,929.00	Professional		$87.55	$115.11	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $56.84 / $179.11	Professional		$39.79	$56.84	$179.11