Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.98 / $442.98 / $495.67	Facility		$442.98	$442.98	$495.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.80 / $442.98 / $495.67	Professional		$317.80	$442.98	$495.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.94 / $489.22 / $798.66	Professional		$228.94	$489.22	$798.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $94.46 / $610.75	Professional		$72.00	$94.46	$610.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.90 / $176.92 / $825.00	Facility		$108.90	$176.92	$825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $91.79 / $159.83	Professional		$54.62	$91.79	$159.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $79.31 / $97.35	Professional		$66.09	$79.31	$97.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.99 / $395.71 / $810.48	Facility		$84.99	$395.71	$810.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $44.00 / $883.68	Professional		$33.00	$44.00	$883.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $32.17 / $63.46 / $127.28	Facility		$32.17	$63.46	$127.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $85.75 / $148.84	Professional		$35.79	$85.75	$148.84
United Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $494.09 / $912.69	Professional		$72.95	$494.09	$912.69