Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.14 / $81.63 / $238.78	Facility		$68.14	$81.63	$238.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $75.45 / $88.69	Professional		$62.81	$75.45	$88.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.14 / $312.94 / $409.41	Facility		$248.14	$312.94	$409.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $92.79 / $142.54	Professional		$73.50	$92.79	$142.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $89.79 / $339.32	Professional		$77.81	$89.79	$339.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.07 / $196.06 / $825.00	Facility		$110.07	$196.06	$825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $111.70 / $191.02	Professional		$65.06	$111.70	$191.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.94 / $93.52 / $114.97	Professional		$77.94	$93.52	$114.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $112.55 / $186.12	Facility		$72.23	$112.55	$186.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $81.00 / $138.00	Professional		$39.00	$81.00	$138.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $34.31 / $80.30 / $152.13	Facility		$34.31	$80.30	$152.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $100.79 / $170.41	Professional		$37.59	$100.79	$170.41
United Facility/Professional Professional Modifier Low / Median / High Price $63.21 / $98.34 / $165.30	Professional		$63.21	$98.34	$165.30