Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.70 / $166.80 / $307.23	Facility		$74.70	$166.80	$307.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $72.94 / $74.70	Professional		$65.91	$72.94	$74.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.88 / $87.88 / $427.98	Facility		$87.88	$87.88	$427.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $35.15 / $53.16	Professional		$35.15	$35.15	$53.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.78 / $291.57 / $436.45	Professional		$190.78	$291.57	$436.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.41 / $164.66 / $397.83	Facility		$61.41	$164.66	$397.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $52.73 / $101.19	Professional		$40.04	$52.73	$101.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.46 / $109.85 / $130.06	Professional		$105.46	$109.85	$130.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.29 / $64.01 / $74.70	Facility		$55.29	$64.01	$74.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $117.00 / $157.00	Professional		$88.54	$117.00	$157.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.15 / $106.37 / $4,071.00	Facility		$64.15	$106.37	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $106.37 / $4,071.00	Professional		$64.15	$106.37	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $43.94 / $57.12	Professional		$36.90	$43.94	$57.12