Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $229.13 / $432.18	Facility		$114.01	$229.13	$432.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $114.01 / $114.01	Professional		$90.54	$114.01	$114.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.72 / $120.72 / $587.91	Facility		$120.72	$120.72	$587.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.61 / $59.61 / $68.40	Professional		$59.61	$59.61	$68.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $362.48 / $553.97 / $829.25	Professional		$362.48	$553.97	$829.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $294.64 / $619.00	Facility		$84.35	$294.64	$619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $68.41 / $126.00	Professional		$63.47	$68.41	$126.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.86 / $150.90 / $178.67	Professional		$144.86	$150.90	$178.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.68 / $103.82 / $146.07	Facility		$79.68	$103.82	$146.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $70.68 / $253.51	Professional		$69.04	$70.68	$253.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $88.13 / $160.85 / $9,929.00	Facility		$88.13	$160.85	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $160.85 / $9,929.00	Professional		$88.13	$160.85	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $71.34 / $120.72	Professional		$50.70	$71.34	$120.72