Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.45 / $287.70 / $490.46	Facility		$116.45	$287.70	$490.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $116.45 / $333.94	Professional		$45.00	$116.45	$333.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $137.00 / $673.36	Facility		$137.00	$137.00	$673.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $54.80 / $87.57	Professional		$54.80	$54.80	$87.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $213.72 / $483.66	Professional		$109.60	$213.72	$483.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.05 / $254.82 / $620.50	Facility		$89.05	$254.82	$620.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.52 / $83.10 / $225.97	Professional		$67.52	$83.10	$225.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $164.40 / $202.76	Professional		$137.00	$164.40	$202.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.45 / $178.10 / $322.37	Facility		$116.45	$178.10	$322.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $192.00 / $328.80	Professional		$137.00	$192.00	$328.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $97.68 / $159.30 / $9,929.00	Facility		$97.68	$159.30	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $162.66 / $9,929.00	Professional		$97.68	$162.66	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $71.23 / $157.55	Professional		$57.54	$71.23	$157.55