Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.22 / $201.45 / $326.91	Facility		$90.22	$201.45	$326.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $88.10 / $90.22	Professional		$79.61	$88.10	$90.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.14 / $106.14 / $516.90	Facility		$106.14	$106.14	$516.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $42.46 / $64.20	Professional		$42.46	$42.46	$64.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.69 / $291.44 / $436.26	Professional		$190.69	$291.44	$436.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.17 / $197.42 / $480.96	Facility		$74.17	$197.42	$480.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $54.13 / $121.84	Professional		$42.30	$54.13	$121.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.37 / $132.68 / $157.09	Professional		$127.37	$132.68	$157.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.97 / $77.30 / $90.22	Facility		$53.97	$77.30	$90.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $98.21 / $157.00	Professional		$88.50	$98.21	$157.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.48 / $128.47 / $4,071.00	Facility		$77.48	$128.47	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $132.68 / $4,071.00	Professional		$77.48	$132.68	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $47.76 / $67.45	Professional		$37.78	$47.76	$67.45