Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $114.01 / $332.01	Facility		$114.01	$114.01	$332.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.60 / $114.01 / $114.01	Professional		$100.60	$114.01	$114.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.43 / $653.21 / $824.90	Facility		$509.43	$653.21	$824.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.68 / $279.68 / $426.06	Professional		$279.68	$279.68	$426.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $107.30 / $209.23	Professional		$107.30	$107.30	$209.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.18 / $295.93 / $687.78	Facility		$87.18	$295.93	$687.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.72 / $163.72 / $196.17	Professional		$163.72	$163.72	$196.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $160.96 / $198.51	Professional		$134.13	$160.96	$198.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.60 / $134.13 / $228.02	Facility		$100.60	$134.13	$228.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $234.73 / $321.91	Professional		$158.00	$234.73	$321.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.20 / $154.25 / $249.03	Facility		$100.20	$154.25	$249.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.20 / $154.25 / $249.03	Professional		$100.20	$154.25	$249.03
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $76.45 / $182.59	Professional		$56.33	$76.45	$182.59