Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.81 / $784.80 / $23,642.92	Facility		$93.81	$784.80	$23,642.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $93.81 / $102.74	Professional		$89.34	$93.81	$102.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $188.51 / $303.76	Facility		$89.34	$188.51	$303.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.41 / $85.82 / $129.50	Professional		$75.41	$85.82	$129.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $84.29 / $89.34	Facility		$84.29	$84.29	$89.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.94 / $107.21 / $641.79	Professional		$75.94	$107.21	$641.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $142.87	Facility		$89.34	$89.34	$142.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $571.20 / $9,929.00	Facility		$86.66	$571.20	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $86.66 / $571.20 / $9,929.00	Professional		$86.66	$571.20	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $94.70 / $116.14	Professional		$89.34	$94.70	$116.14