Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.50 / $284.70 / $537.00	Facility		$112.50	$284.70	$537.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $123.00 / $127.50	Professional		$112.50	$123.00	$127.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $97.50	Professional		$60.00	$60.00	$97.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $135.00 / $263.25	Professional		$120.00	$135.00	$263.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.50 / $280.29 / $768.28	Facility		$97.50	$280.29	$768.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $166.16 / $199.07	Professional		$87.75	$166.16	$199.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $180.00 / $222.00	Professional		$150.00	$180.00	$222.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.88 / $172.50 / $269.55	Facility		$124.88	$172.50	$269.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $262.00 / $360.00	Professional		$206.00	$262.00	$360.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $150.00 / $240.60	Facility		$105.00	$150.00	$240.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $150.00 / $240.60	Professional		$105.00	$150.00	$240.60
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $78.00 / $172.50	Professional		$63.00	$78.00	$172.50