Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.11 / $331.79 / $625.82	Facility		$131.11	$331.79	$625.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.11 / $143.34 / $148.59	Professional		$131.11	$143.34	$148.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $859.19	Facility		$174.81	$174.81	$859.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $69.92 / $113.62	Professional		$69.92	$69.92	$113.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $139.85 / $272.70	Professional		$139.85	$139.85	$272.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.63 / $385.43 / $895.75	Facility		$113.63	$385.43	$895.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.76 / $212.76 / $254.91	Professional		$212.76	$212.76	$254.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $209.77 / $258.72	Professional		$174.81	$209.77	$258.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $145.53 / $201.03 / $314.13	Facility		$145.53	$201.03	$314.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $346.12 / $419.54	Professional		$206.00	$346.12	$419.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $157.33 / $280.39	Facility		$63.50	$157.33	$280.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $174.81 / $280.39	Professional		$63.50	$174.81	$280.39
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $90.90 / $237.97	Professional		$73.42	$90.90	$237.97