Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.69 / $367.20 / $533.28	Facility		$140.69	$367.20	$533.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.72 / $140.69 / $140.69	Professional		$111.72	$140.69	$140.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.74 / $198.74 / $732.14	Facility		$198.74	$198.74	$732.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $76.40	Professional		$45.77	$45.77	$76.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $119.17 / $125.48 / $232.38	Professional		$119.17	$125.48	$232.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.82 / $278.33 / $763.21	Facility		$96.82	$278.33	$763.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $242.09 / $290.05	Professional		$96.83	$242.09	$290.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.74 / $238.49 / $294.14	Professional		$198.74	$238.49	$294.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.01 / $190.35 / $297.44	Facility		$124.01	$190.35	$297.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $294.94 / $469.32	Professional		$176.00	$294.94	$469.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.27 / $148.96 / $264.92	Facility		$104.27	$148.96	$264.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.27 / $148.96 / $264.92	Professional		$104.27	$148.96	$264.92
United Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $89.38 / $190.35	Professional		$62.56	$89.38	$190.35