Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $84.87 / $200.73	Facility		$68.06	$84.87	$200.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $77.23 / $89.84	Professional		$58.73	$77.23	$89.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.52 / $322.25 / $421.59	Facility		$255.52	$322.25	$421.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $95.08 / $139.16	Professional		$62.55	$95.08	$139.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $91.59 / $156.88	Professional		$77.38	$91.59	$156.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $255.78 / $521.34	Facility		$134.00	$255.78	$521.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $83.53 / $176.59	Professional		$52.67	$83.53	$176.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.72 / $96.87 / $118.71	Professional		$80.72	$96.87	$118.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $90.81 / $137.43	Facility		$68.06	$90.81	$137.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $74.00 / $129.00	Professional		$21.00	$74.00	$129.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $67.59 / $153.44	Facility		$19.30	$67.59	$153.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $83.66 / $175.02	Professional		$21.54	$83.66	$175.02
United Facility/Professional Facility Modifier Low / Median / High Price $70.28 / $410.47 / $505.48	Facility		$70.28	$410.47	$505.48
United Facility/Professional Professional Modifier Low / Median / High Price $44.05 / $82.66 / $149.69	Professional		$44.05	$82.66	$149.69