Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $93.33 / $281.84	Facility		$81.28	$93.33	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $204.17	Professional		$81.28	$123.03	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $57.54 / $275.42	Professional		$0.02	$57.54	$275.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $85.11 / $109.65	Professional		$79.43	$85.11	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $263.03	Professional		$95.50	$138.04	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $380.19	Professional		$97.72	$123.03	$380.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $204.17	Professional		$117.49	$147.91	$204.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $151.36 / $229.09	Facility		$104.71	$151.36	$229.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $109.65	Professional		$97.72	$97.72	$109.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $141.25 / $4,073.80	Facility		$95.50	$141.25	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $4,073.80	Professional		$95.50	$141.25	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $239.88	Professional		$87.10	$134.90	$239.88