Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $151.10 / $306.73	Facility		$105.33	$151.10	$306.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $105.33 / $105.33	Professional		$105.33	$105.33	$105.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.23 / $513.20 / $648.09	Facility		$400.23	$513.20	$648.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $8.99 / $41.23	Professional		$8.99	$8.99	$41.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.30 / $341.27 / $510.85	Professional		$223.30	$341.27	$510.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.37 / $73.09 / $105.33	Facility		$72.37	$73.09	$105.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.53 / $105.33 / $114.35	Professional		$89.53	$105.33	$114.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.53 / $99.51 / $117.82	Professional		$95.53	$99.51	$117.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $105.33 / $105.33	Facility		$105.33	$105.33	$105.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $97.79 / $221.19	Professional		$86.37	$97.79	$221.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $55.73 / $92.57 / $482.17	Facility		$55.73	$92.57	$482.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $55.73 / $94.52 / $4,071.00	Professional		$55.73	$94.52	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $46.99 / $79.00	Professional		$41.67	$46.99	$79.00