Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.84 / $207.13 / $390.69	Facility		$81.84	$207.13	$390.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $89.49 / $103.07	Professional		$81.84	$89.49	$103.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.13 / $109.13 / $536.37	Facility		$109.13	$109.13	$536.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $53.89 / $82.14	Professional		$53.89	$53.89	$82.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.13 / $152.44 / $311.87	Professional		$109.13	$152.44	$311.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.93 / $240.35 / $558.57	Facility		$70.93	$240.35	$558.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $73.03 / $215.93	Professional		$54.54	$73.03	$215.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.13 / $130.96 / $161.51	Professional		$109.13	$130.96	$161.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.07 / $188.62 / $380.50	Facility		$103.07	$188.62	$380.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $187.00 / $261.91	Professional		$109.00	$187.00	$261.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $99.43 / $131.16 / $9,929.00	Facility		$99.43	$131.16	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $131.16 / $9,929.00	Professional		$103.75	$131.16	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $65.48 / $171.21	Professional		$45.83	$65.48	$171.21