Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.81 / $115.22 / $273.39	Facility		$91.81	$115.22	$273.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.26 / $104.37 / $122.50	Professional		$80.26	$104.37	$122.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.94 / $437.54 / $572.41	Facility		$346.94	$437.54	$572.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.65 / $129.55 / $189.36	Professional		$91.65	$129.55	$189.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $113.31 / $125.49 / $274.08	Professional		$113.31	$125.49	$274.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.90 / $302.76 / $825.00	Facility		$183.90	$302.76	$825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.80 / $122.65 / $239.30	Professional		$87.80	$122.65	$239.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $131.61 / $161.29	Professional		$109.68	$131.61	$161.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.56 / $136.19 / $205.08	Facility		$94.56	$136.19	$205.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $115.00 / $181.00	Professional		$25.00	$115.00	$181.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.26 / $106.08 / $210.10	Facility		$23.26	$106.08	$210.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $122.32 / $238.73	Professional		$25.70	$122.32	$238.73
United Facility/Professional Facility Modifier Low / Median / High Price $159.61 / $528.75 / $528.75	Facility		$159.61	$528.75	$528.75
United Facility/Professional Professional Modifier Low / Median / High Price $84.78 / $121.36 / $209.98	Professional		$84.78	$121.36	$209.98