Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.89 / $247.86 / $8,912.45	Facility		$113.89	$247.86	$8,912.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $109.55 / $162.69	Professional		$108.47	$109.55	$162.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $224.53 / $354.70	Facility		$108.47	$224.53	$354.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $150.62	Professional		$108.47	$108.47	$150.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $109.29 / $109.29	Professional		$108.47	$109.29	$109.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $108.47	Facility		$102.33	$102.33	$108.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $108.47	Professional		$108.47	$108.47	$108.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.20 / $108.47 / $398.20	Professional		$92.20	$108.47	$398.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $166.08 / $545.44	Facility		$108.47	$166.08	$545.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.09 / $404.21 / $1,057.00	Professional		$141.09	$404.21	$1,057.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $130.16 / $192.09	Facility		$108.47	$130.16	$192.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $130.16 / $192.09	Professional		$108.47	$130.16	$192.09
United Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $114.98 / $128.10	Professional		$108.47	$114.98	$128.10