Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $234.42 / $363.08	Facility		$107.15	$234.42	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $173.78	Professional		$77.62	$100.00	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $398.11 / $501.19	Facility		$338.84	$398.11	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $194.98	Professional		$91.20	$128.82	$194.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $380.19	Professional		$83.18	$112.20	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $338.84 / $870.96	Facility		$151.36	$338.84	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $223.87	Professional		$79.43	$128.82	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $162.18	Professional		$93.33	$112.20	$162.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $257.04	Professional		$138.04	$173.78	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $134.90 / $218.78	Facility		$95.50	$134.90	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $186.21	Professional		$120.23	$120.23	$186.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $97.72 / $218.78	Facility		$32.36	$97.72	$218.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $114.82 / $288.40	Professional		$35.48	$114.82	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $107.15 / $851.14	Facility		$27.54	$107.15	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $208.93	Professional		$81.28	$120.23	$208.93