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 $5.92 / $5.92 / $9.88	Professional		$5.92	$5.92	$9.88
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 / $242.48	Facility		$113.39	$142.63	$242.48
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 $88.82 / $164.02 / $313.36	Facility		$88.82	$164.02	$313.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $88.82 / $165.85 / $313.36	Professional		$88.82	$165.85	$313.36
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $71.31 / $164.02	Professional		$59.90	$71.31	$164.02