Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.19 / $271.33 / $971.28	Facility		$81.19	$271.33	$971.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.64 / $77.15 / $81.19	Professional		$71.64	$77.15	$81.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.52 / $95.52 / $465.18	Facility		$95.52	$95.52	$465.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $57.78	Professional		$39.86	$39.86	$57.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $224.53 / $343.15 / $513.66	Professional		$224.53	$343.15	$513.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.78 / $208.30 / $463.54	Facility		$62.78	$208.30	$463.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $62.08 / $141.66	Professional		$47.73	$62.08	$141.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.62 / $119.40 / $141.37	Professional		$114.62	$119.40	$141.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $69.56 / $95.52	Facility		$69.56	$69.56	$95.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.79 / $110.18 / $131.00	Professional		$64.79	$110.18	$131.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $116.06 / $4,071.00	Facility		$69.73	$116.06	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $116.06 / $4,071.00	Professional		$69.73	$116.06	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $47.76 / $95.52	Facility		$33.43	$47.76	$95.52
United Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $47.76 / $88.20	Professional		$40.11	$47.76	$88.20