Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.58 / $244.33 / $500.00	Facility		$121.58	$244.33	$500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.55 / $121.58 / $132.94	Professional		$96.55	$121.58	$132.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $128.72 / $632.71	Facility		$128.72	$128.72	$632.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $63.57 / $101.59	Professional		$63.57	$63.57	$101.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $225.93 / $802.21	Professional		$115.86	$225.93	$802.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.61 / $318.70 / $659.25	Facility		$150.61	$318.70	$659.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $95.47 / $254.49	Professional		$66.95	$95.47	$254.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $154.47 / $244.59	Professional		$128.72	$154.47	$244.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.34 / $221.42 / $304.94	Facility		$102.34	$221.42	$304.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $133.85 / $205.00 / $308.95	Professional		$133.85	$205.00	$308.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $115.86 / $162.00 / $4,071.00	Facility		$115.86	$162.00	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $162.00 / $4,071.00	Professional		$117.28	$162.00	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $76.08 / $175.24	Professional		$54.07	$76.08	$175.24