Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.25 / $203.09 / $383.06	Facility		$80.25	$203.09	$383.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.25 / $90.95 / $90.95	Professional		$80.25	$90.95	$90.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.39 / $521.09 / $658.05	Facility		$406.39	$521.09	$658.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $135.44 / $194.72	Professional		$135.44	$135.44	$194.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $85.60 / $166.92	Professional		$85.60	$85.60	$166.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.55 / $236.02 / $548.53	Facility		$69.55	$236.02	$548.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $130.46 / $156.30	Professional		$62.60	$130.46	$156.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $128.40 / $158.36	Professional		$107.00	$128.40	$158.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.08 / $123.05 / $192.28	Facility		$89.08	$123.05	$192.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $187.00 / $256.80	Professional		$147.00	$187.00	$256.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.90 / $107.00 / $171.63	Facility		$74.90	$107.00	$171.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $107.00 / $171.63	Professional		$74.90	$107.00	$171.63
United Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $55.64 / $123.05	Professional		$44.94	$55.64	$123.05