Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $263.03 / $630.96	Facility		$95.50	$263.03	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $154.88	Professional		$63.10	$75.86	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $338.84	Facility		$85.11	$85.11	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $74.13	Professional		$41.69	$41.69	$74.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $398.11 / $602.56	Professional		$72.44	$398.11	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $213.80 / $389.05	Facility		$134.90	$213.80	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $63.10 / $169.82	Professional		$43.65	$63.10	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $125.89	Professional		$85.11	$102.33	$125.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $128.82 / $208.93	Facility		$70.79	$128.82	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $177.83	Professional		$67.61	$67.61	$177.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $102.33 / $10,000.00	Facility		$72.44	$102.33	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $10,000.00	Professional		$72.44	$102.33	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $85.11 / $102.33	Facility		$70.79	$85.11	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $120.23	Professional		$35.48	$51.29	$120.23