Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $346.74 / $645.65	Facility		$123.03	$346.74	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $186.21	Professional		$109.65	$131.83	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $660.69	Facility		$162.18	$162.18	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $141.25	Professional		$81.28	$81.28	$141.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $151.36 / $165.96	Professional		$141.25	$151.36	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $407.38 / $831.76	Facility		$165.96	$407.38	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $239.88	Professional		$107.15	$199.53	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $181.97 / $229.09	Professional		$162.18	$181.97	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $199.53 / $288.40	Facility		$131.83	$199.53	$288.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $346.74	Professional		$131.83	$131.83	$346.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $162.18 / $316.23	Facility		$67.61	$162.18	$316.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $162.18 / $316.23	Professional		$67.61	$162.18	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $162.18 / $194.98	Facility		$120.23	$162.18	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $223.87	Professional		$69.18	$91.20	$223.87