Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.11 / $167.10 / $167.10	Facility		$157.11	$167.10	$167.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.69 / $157.11 / $167.10	Professional		$106.69	$157.11	$167.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $154.00 / $257.08	Professional		$154.00	$154.00	$257.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $271.00 / $271.00 / $512.19	Professional		$271.00	$271.00	$512.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.40 / $163.40 / $163.40	Professional		$163.40	$163.40	$163.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.30 / $211.58 / $249.89	Professional		$165.30	$211.58	$249.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.17 / $167.10 / $254.49	Facility		$105.17	$167.10	$254.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.00 / $291.24 / $407.28	Professional		$223.00	$291.24	$407.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $71.81 / $166.78 / $9,929.00	Facility		$71.81	$166.78	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $179.29 / $9,929.00	Professional		$92.77	$179.29	$9,929.00