Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $302.00 / $562.34	Facility		$107.15	$302.00	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $162.18	Professional		$93.33	$112.20	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $575.44	Facility		$141.25	$141.25	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $10.47	Professional		$5.89	$5.89	$10.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $128.82	Professional		$109.65	$114.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $281.84 / $724.44	Facility		$144.54	$281.84	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $208.93	Professional		$173.78	$173.78	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $158.49 / $199.53	Professional		$141.25	$158.49	$199.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $138.04 / $223.87	Facility		$107.15	$138.04	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $302.00	Professional		$93.33	$93.33	$302.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $162.18 / $363.08	Facility		$85.11	$162.18	$363.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $165.96 / $380.19	Professional		$85.11	$165.96	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $141.25 / $169.82	Facility		$85.11	$141.25	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $162.18	Professional		$60.26	$70.79	$162.18