Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $269.15 / $912.01	Facility		$107.15	$269.15	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $104.71 / $190.55	Professional		$93.33	$104.71	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $575.44	Facility		$141.25	$141.25	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $97.72	Professional		$57.54	$57.54	$97.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $128.82	Professional		$109.65	$114.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $275.42 / $724.44	Facility		$144.54	$275.42	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $223.87	Professional		$69.18	$89.13	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $158.49 / $199.53	Professional		$141.25	$158.49	$199.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $138.04 / $234.42	Facility		$107.15	$138.04	$234.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $302.00	Professional		$93.33	$93.33	$302.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $162.18 / $10,000.00	Facility		$120.23	$162.18	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $10,000.00	Professional		$117.49	$169.82	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $141.25 / $169.82	Facility		$85.11	$141.25	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $162.18	Professional		$60.26	$70.79	$162.18