Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.10 / $271.02 / $1,352.19	Facility		$151.10	$271.02	$1,352.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $82.12 / $207.81	Professional		$54.75	$82.12	$207.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.49 / $109.49 / $533.22	Facility		$109.49	$109.49	$533.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $43.80 / $66.23	Professional		$43.80	$43.80	$66.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $241.17 / $368.58 / $551.74	Professional		$241.17	$368.58	$551.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.51 / $232.76 / $495.81	Facility		$76.51	$232.76	$495.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.89 / $65.69 / $125.55	Professional		$49.89	$65.69	$125.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.38 / $136.86 / $162.05	Professional		$131.38	$136.86	$162.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.75 / $87.59 / $132.47	Facility		$54.75	$87.59	$132.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.17 / $110.40 / $130.00	Professional		$71.17	$110.40	$130.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $79.93 / $130.00 / $4,071.00	Facility		$79.93	$130.00	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $79.93 / $130.00 / $4,071.00	Professional		$79.93	$130.00	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $54.75 / $86.28	Professional		$45.99	$54.75	$86.28