Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $324.07	Facility		$93.52	$93.52	$324.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $97.56 / $110.20	Professional		$21.00	$97.56	$110.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.99 / $242.33 / $306.02	Facility		$188.99	$242.33	$306.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $32.40 / $41.95	Professional		$32.40	$32.40	$41.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $48.57 / $72.70	Professional		$31.78	$48.57	$72.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.27 / $85.64 / $168.62	Facility		$61.27	$85.64	$168.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $31.33 / $78.47	Professional		$28.65	$31.33	$78.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Professional		$358.00	$358.00	$358.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $97.56 / $117.42	Facility		$22.00	$97.56	$117.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $98.24 / $98.24 / $98.24	Professional		$98.24	$98.24	$98.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,071.00 / $9,929.00 / $10,945.00	Facility		$4,071.00	$9,929.00	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,071.00 / $9,929.00 / $10,945.00	Professional		$4,071.00	$9,929.00	$10,945.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $132.00 / $132.00	Professional		$132.00	$132.00	$132.00