Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.16 / $524.27 / $739.40	Facility		$121.16	$524.27	$739.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $100.07 / $121.16	Professional		$67.98	$100.07	$121.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.29 / $128.29 / $630.54	Facility		$128.29	$128.29	$630.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $63.35 / $101.23	Professional		$63.35	$63.35	$101.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $250.17 / $768.15	Professional		$128.29	$250.17	$768.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.39 / $282.94 / $657.56	Facility		$83.39	$282.94	$657.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.22 / $95.21 / $253.85	Professional		$65.22	$95.21	$253.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $153.94 / $189.87	Professional		$128.29	$153.94	$189.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.99 / $190.54 / $256.14	Facility		$101.99	$190.54	$256.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $192.00 / $302.66	Professional		$128.00	$192.00	$302.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $113.84 / $152.40 / $4,071.00	Facility		$113.84	$152.40	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $115.46 / $154.19 / $4,071.00	Professional		$115.46	$154.19	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $73.31 / $174.64	Professional		$53.88	$73.31	$174.64