Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $114.82 / $269.15	Facility		$93.33	$114.82	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $204.17	Professional		$79.43	$114.82	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $426.58 / $537.03	Facility		$363.08	$426.58	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $223.87	Professional		$100.00	$141.25	$223.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $141.25 / $660.69	Professional		$56.23	$141.25	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $295.12 / $870.96	Facility		$158.49	$295.12	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $162.18 / $288.40	Professional		$89.13	$162.18	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $173.78	Professional		$100.00	$123.03	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $331.13	Professional		$257.04	$323.59	$331.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $158.49 / $295.12	Facility		$100.00	$158.49	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $281.84	Professional		$190.55	$190.55	$281.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $107.15 / $263.03	Facility		$50.12	$107.15	$263.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $138.04 / $331.13	Professional		$53.70	$138.04	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $194.98 / $1,659.59	Facility		$43.65	$194.98	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $275.42	Professional		$91.20	$147.91	$275.42