Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $229.09 / $602.56	Facility		$91.20	$229.09	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $141.25	Professional		$81.28	$97.72	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $489.78	Facility		$123.03	$123.03	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,412.54	Professional		$851.14	$851.14	$1,412.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $123.03	Professional		$104.71	$112.20	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $302.00 / $630.96	Facility		$123.03	$302.00	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $177.83	Professional		$87.10	$147.91	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $169.82	Professional		$123.03	$134.90	$169.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $158.49 / $234.42	Facility		$97.72	$158.49	$234.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $257.04	Professional		$97.72	$97.72	$257.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $162.18 / $354.81	Facility		$85.11	$162.18	$354.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $165.96 / $354.81	Professional		$85.11	$165.96	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $123.03 / $147.91	Facility		$91.20	$123.03	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $165.96	Professional		$51.29	$72.44	$165.96