Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $354.81 / $457.09	Facility		$138.04	$354.81	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $213.80	Professional		$123.03	$144.54	$213.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $977.24 / $1,148.15	Facility		$741.31	$977.24	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $380.19	Professional		$229.09	$229.09	$380.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $151.36 / $165.96	Professional		$141.25	$151.36	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $363.08 / $954.99	Facility		$190.55	$363.08	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $269.15	Professional		$223.87	$223.87	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $257.04	Professional		$186.21	$204.17	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $177.83 / $288.40	Facility		$138.04	$177.83	$288.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $389.05	Professional		$120.23	$120.23	$389.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $208.93 / $380.19	Facility		$128.82	$208.93	$380.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $380.19	Professional		$128.82	$213.80	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $186.21 / $223.87	Facility		$112.20	$186.21	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $213.80	Professional		$77.62	$93.33	$213.80