Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $281.84 / $524.81	Facility		$100.00	$281.84	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $128.82	Professional		$89.13	$104.71	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $707.95 / $831.76	Facility		$537.03	$707.95	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $478.63	Professional		$281.84	$281.84	$478.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $109.65 / $120.23	Professional		$102.33	$109.65	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $331.13 / $691.83	Facility		$138.04	$331.13	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $194.98	Professional		$162.18	$162.18	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $147.91 / $186.21	Professional		$134.90	$147.91	$186.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $128.82 / $208.93	Facility		$100.00	$128.82	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $281.84	Professional		$87.10	$87.10	$281.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $134.90 / $263.03	Facility		$67.61	$134.90	$263.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $134.90 / $263.03	Professional		$67.61	$134.90	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $134.90 / $162.18	Facility		$81.28	$134.90	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $154.88	Professional		$56.23	$67.61	$154.88