Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.97 / $311.20 / $586.98	Facility		$122.97	$311.20	$586.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.97 / $134.44 / $154.85	Professional		$122.97	$134.44	$154.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $163.96 / $805.86	Facility		$163.96	$163.96	$805.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $80.97 / $129.38	Professional		$80.97	$80.97	$129.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $180.36 / $351.70	Professional		$163.96	$180.36	$351.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.57 / $306.36 / $840.39	Facility		$106.57	$306.36	$840.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $199.63 / $239.18	Professional		$106.58	$199.63	$239.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $196.75 / $242.66	Professional		$163.96	$196.75	$242.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $136.50 / $202.42 / $336.02	Facility		$136.50	$202.42	$336.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $324.64 / $393.50	Professional		$193.00	$324.64	$393.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $147.56 / $262.99	Facility		$63.50	$147.56	$262.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $163.96 / $262.99	Professional		$63.50	$163.96	$262.99
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $93.46 / $223.20	Professional		$68.86	$93.46	$223.20