Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.27 / $217.19 / $409.66	Facility		$97.27	$217.19	$409.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $97.27 / $97.27	Professional		$85.82	$97.27	$97.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $114.43 / $562.41	Facility		$114.43	$114.43	$562.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $74.37	Professional		$45.77	$45.77	$74.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $102.99 / $200.83	Professional		$91.54	$102.99	$200.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $213.82 / $585.40	Facility		$74.38	$213.82	$585.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $139.65 / $167.32	Professional		$66.94	$139.65	$167.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $137.32 / $169.36	Professional		$114.43	$137.32	$169.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.26 / $131.59 / $205.63	Facility		$95.26	$131.59	$205.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $207.00 / $274.63	Professional		$114.43	$207.00	$274.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $114.43 / $183.55	Facility		$80.09	$114.43	$183.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $114.43 / $183.55	Professional		$80.09	$114.43	$183.55
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $59.50 / $123.36	Professional		$48.06	$59.50	$123.36