Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.68 / $233.93 / $360.88	Facility		$94.68	$233.93	$360.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $98.43 / $115.48	Professional		$79.06	$98.43	$115.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.66 / $377.91 / $494.41	Facility		$299.66	$377.91	$494.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.97 / $112.00 / $170.64	Professional		$88.97	$112.00	$170.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $119.12 / $338.13	Professional		$111.80	$119.12	$338.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.05 / $263.94 / $825.00	Facility		$140.05	$263.94	$825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $130.44 / $234.61	Professional		$83.29	$130.44	$234.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.32 / $113.19 / $138.71	Professional		$94.32	$113.19	$138.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.68 / $136.00 / $209.51	Facility		$94.68	$136.00	$209.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.01 / $103.00 / $173.00	Professional		$37.01	$103.00	$173.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $35.04 / $101.31 / $197.78	Facility		$35.04	$101.31	$197.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $123.31 / $223.90	Professional		$37.65	$123.31	$223.90
United Facility/Professional Facility Modifier Low / Median / High Price $212.31 / $846.20 / $912.74	Facility		$212.31	$846.20	$912.74
United Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $133.86 / $207.18	Professional		$83.33	$133.86	$207.18