Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $229.16 / $747.15	Facility		$61.58	$229.16	$747.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $85.82 / $97.27	Professional		$56.88	$85.82	$97.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $114.43 / $557.27	Facility		$114.43	$114.43	$557.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $31.98 / $68.54	Professional		$31.98	$31.98	$68.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $229.02 / $350.02 / $523.95	Professional		$229.02	$350.02	$523.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $213.17 / $585.40	Facility		$75.20	$213.17	$585.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $60.16 / $119.63	Professional		$38.36	$60.16	$119.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $143.04 / $169.36	Professional		$137.32	$143.04	$169.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $95.76 / $144.18	Facility		$91.54	$95.76	$144.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $79.94 / $240.30	Professional		$59.96	$79.94	$240.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $131.59 / $4,071.00	Facility		$74.38	$131.59	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $131.59 / $4,071.00	Professional		$74.38	$131.59	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $48.06 / $74.38	Professional		$33.57	$48.06	$74.38