Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $200.60 / $454.82	Facility		$85.00	$200.60	$454.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $120.00 / $124.85	Professional		$75.00	$120.00	$124.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $487.00	Facility		$100.00	$100.00	$487.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $60.50	Professional		$40.00	$40.00	$60.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $343.83 / $514.67	Professional		$224.97	$343.83	$514.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.88 / $196.63 / $452.76	Facility		$69.88	$196.63	$452.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.66 / $60.00 / $114.81	Professional		$43.66	$60.00	$114.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $125.00 / $148.00	Professional		$120.00	$125.00	$148.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.24 / $124.85 / $124.85	Facility		$51.24	$124.85	$124.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $102.99 / $122.00	Professional		$65.00	$102.99	$122.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $116.28 / $4,071.00	Facility		$70.00	$116.28	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $116.28 / $4,071.00	Professional		$70.00	$116.28	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $50.00 / $100.00	Professional		$36.63	$50.00	$100.00