Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.39 / $196.80 / $470.93	Facility		$83.39	$196.80	$470.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $80.45 / $83.39	Professional		$73.58	$80.45	$83.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $477.80	Facility		$98.11	$98.11	$477.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $59.94 / $81.58	Professional		$39.24	$59.94	$81.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $193.41 / $295.58 / $442.47	Professional		$193.41	$295.58	$442.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.79 / $219.54 / $445.34	Facility		$114.79	$219.54	$445.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.70 / $53.19 / $140.94	Professional		$44.70	$53.19	$140.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.73 / $122.64 / $145.19	Professional		$117.73	$122.64	$145.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.06 / $49.06 / $83.39	Facility		$49.06	$49.06	$83.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.77 / $88.54 / $104.00	Professional		$63.77	$88.54	$104.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $68.68 / $110.97 / $4,071.00	Facility		$68.68	$110.97	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $110.97 / $4,071.00	Professional		$68.68	$110.97	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $81.58 / $98.11 / $131.82	Facility		$81.58	$98.11	$131.82
United Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $43.17 / $67.98	Professional		$38.07	$43.17	$67.98