Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $363.08 / $588.84	Facility		$112.20	$363.08	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $169.82	Professional		$107.15	$120.23	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $588.84	Facility		$199.53	$199.53	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $81.28	Professional		$45.71	$45.71	$81.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $162.18 / $177.83	Professional		$154.88	$162.18	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $371.54 / $758.58	Facility		$151.36	$371.54	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $239.88 / $288.40	Professional		$97.72	$239.88	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $218.78 / $275.42	Professional		$199.53	$218.78	$275.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $181.97 / $275.42	Facility		$117.49	$181.97	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $316.23	Professional		$107.15	$107.15	$316.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $177.83 / $275.42	Facility		$104.71	$177.83	$275.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $275.42	Professional		$104.71	$177.83	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $147.91 / $239.88	Facility		$100.00	$147.91	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $190.55	Professional		$63.10	$83.18	$190.55