Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.91 / $137.91 / $396.96	Facility		$137.91	$137.91	$396.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $149.35 / $172.63	Professional		$119.20	$149.35	$172.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $499.34 / $629.74 / $823.86	Facility		$499.34	$629.74	$823.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.08 / $185.80 / $271.76	Professional		$132.08	$185.80	$271.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.09 / $180.92 / $352.79	Professional		$169.09	$180.92	$352.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.07 / $352.44 / $825.00	Facility		$207.07	$352.44	$825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.97 / $182.48 / $342.85	Professional		$120.97	$182.48	$342.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.46 / $187.84 / $231.66	Professional		$156.46	$187.84	$231.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.91 / $196.35 / $285.60	Facility		$137.91	$196.35	$285.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $131.90 / $256.00	Professional		$79.00	$131.90	$256.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $133.44 / $267.13	Facility		$66.78	$133.44	$267.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $172.56 / $326.04	Professional		$72.98	$172.56	$326.04
United Facility/Professional Professional Modifier Low / Median / High Price $106.89 / $166.01 / $298.24	Professional		$106.89	$166.01	$298.24