Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.09 / $195.62 / $195.62	Facility		$191.09	$195.62	$195.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.82 / $191.09 / $195.62	Professional		$124.82	$191.09	$195.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $213.00 / $355.58	Professional		$213.00	$213.00	$355.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $410.00 / $774.90	Professional		$410.00	$410.00	$774.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.28 / $191.28 / $191.28	Professional		$191.28	$191.28	$191.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.31 / $257.68 / $304.45	Professional		$201.31	$257.68	$304.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.60 / $195.62 / $305.74	Facility		$139.60	$195.62	$305.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $352.21 / $497.04	Professional		$272.00	$352.21	$497.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $143.44 / $203.86 / $9,929.00	Facility		$143.44	$203.86	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $143.44 / $203.86 / $9,929.00	Professional		$143.44	$203.86	$9,929.00