Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $77.29 / $224.22	Facility		$77.29	$77.29	$224.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $86.34 / $106.99	Professional		$65.98	$86.34	$106.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.55 / $368.95 / $482.68	Facility		$292.55	$368.95	$482.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.18 / $108.81 / $159.35	Professional		$72.18	$108.81	$159.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.52 / $108.58 / $201.88	Professional		$89.52	$108.58	$201.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.07 / $243.19 / $750.00	Facility		$150.07	$243.19	$750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $99.21 / $197.42	Professional		$69.20	$99.21	$197.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.31 / $110.77 / $135.75	Professional		$92.31	$110.77	$135.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $113.64 / $161.76	Facility		$77.29	$113.64	$161.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $91.00 / $153.00	Professional		$24.18	$91.00	$153.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.63 / $80.47 / $171.95	Facility		$22.63	$80.47	$171.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $99.39 / $195.06	Professional		$25.51	$99.39	$195.06
United Facility/Professional Professional Modifier Low / Median / High Price $60.92 / $96.39 / $175.56	Professional		$60.92	$96.39	$175.56