Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.38 / $159.38 / $196.48	Facility		$159.38	$159.38	$196.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $159.38 / $196.48	Professional		$20.10	$159.38	$196.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $28.57 / $47.59	Professional		$22.34	$28.57	$47.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $127.00	Professional		$100.00	$100.00	$127.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.13 / $261.13 / $261.13	Facility		$261.13	$261.13	$261.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $182.29	Professional		$182.29	$182.29	$182.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.07 / $276.08 / $324.80	Professional		$230.07	$276.08	$324.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $173.74 / $292.93	Facility		$35.00	$173.74	$292.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $322.00 / $494.47	Professional		$187.00	$322.00	$494.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $39.90 / $7,420.00	Facility		$13.73	$39.90	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $53.14 / $9,929.00	Professional		$10.98	$53.14	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $217.35 / $385.99	Professional		$130.13	$217.35	$385.99