Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $270.70 / $510.62	Facility		$106.97	$270.70	$510.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $116.96 / $121.24	Professional		$106.97	$116.96	$121.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $701.03	Facility		$142.63	$142.63	$701.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $19.88 / $31.22	Professional		$19.88	$19.88	$31.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $128.37 / $250.32	Professional		$114.10	$128.37	$250.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $266.52 / $731.36	Facility		$92.71	$266.52	$731.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.80 / $173.80 / $208.23	Professional		$173.80	$173.80	$208.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $171.16 / $211.09	Professional		$142.63	$171.16	$211.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.39 / $142.63 / $221.87	Facility		$113.39	$142.63	$221.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $282.41 / $342.31	Professional		$168.00	$282.41	$342.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $99.84 / $142.63 / $228.78	Facility		$99.84	$142.63	$228.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $142.63 / $228.78	Professional		$99.84	$142.63	$228.78
United Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $59.90 / $59.90	Facility		$59.90	$59.90	$59.90
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $74.17 / $164.02	Professional		$59.90	$74.17	$164.02