Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.48 / $577.29 / $1,875.32	Facility		$233.48	$577.29	$1,875.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $101.78 / $133.10	Professional		$85.59	$101.78	$133.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.59 / $156.59 / $762.59	Facility		$156.59	$156.59	$762.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $31.98 / $94.73	Professional		$31.98	$31.98	$94.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $352.34 / $538.49 / $806.07	Professional		$352.34	$538.49	$806.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.42 / $254.45 / $519.40	Facility		$109.42	$254.45	$519.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $82.33 / $163.50	Professional		$59.04	$82.33	$163.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.91 / $195.74 / $231.75	Professional		$187.91	$195.74	$231.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.04 / $126.84 / $189.47	Facility		$114.04	$126.84	$189.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.24 / $122.99 / $328.84	Professional		$92.24	$122.99	$328.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $107.37 / $180.08 / $4,071.00	Facility		$107.37	$180.08	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $107.37 / $180.08 / $4,071.00	Professional		$107.37	$180.08	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $74.08 / $122.99	Professional		$51.66	$74.08	$122.99