Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.94 / $333.92 / $459.60	Facility		$127.94	$333.92	$459.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $127.94 / $127.94	Professional		$91.43	$127.94	$127.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.91 / $121.91 / $599.19	Facility		$121.91	$121.91	$599.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $1,289.20	Professional		$846.27	$846.27	$1,289.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $121.91 / $134.10 / $261.50	Professional		$121.91	$134.10	$261.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $227.80 / $624.02	Facility		$79.23	$227.80	$624.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $148.41 / $177.81	Professional		$88.05	$148.41	$177.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.91 / $146.29 / $180.43	Professional		$121.91	$146.29	$180.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.49 / $165.57 / $270.48	Facility		$101.49	$165.57	$270.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $245.00 / $292.58	Professional		$160.00	$245.00	$292.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $162.51 / $330.79	Facility		$79.23	$162.51	$330.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $85.34 / $163.96 / $330.79	Professional		$85.34	$163.96	$330.79
United Facility/Professional Facility Modifier Low / Median / High Price $51.20 / $51.20 / $51.20	Facility		$51.20	$51.20	$51.20
United Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $73.15 / $165.95	Professional		$51.20	$73.15	$165.95