Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.82 / $210.82 / $235.67	Facility		$210.82	$210.82	$235.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.19 / $210.82 / $235.67	Professional		$157.19	$210.82	$235.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.63 / $225.87 / $366.09	Professional		$165.63	$225.87	$366.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $96.94 / $123.11 / $291.83	Professional		$96.94	$123.11	$291.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.33 / $210.25 / $750.00	Facility		$128.33	$210.25	$750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $109.13 / $189.96	Professional		$65.55	$109.13	$189.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $93.12 / $114.27	Professional		$77.59	$93.12	$114.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.91 / $210.82 / $371.04	Facility		$100.91	$210.82	$371.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $52.00 / $419.88	Professional		$39.00	$52.00	$419.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $37.49 / $74.34 / $139.78	Facility		$37.49	$74.34	$139.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $41.45 / $100.11 / $166.35	Professional		$41.45	$100.11	$166.35
United Facility/Professional Professional Modifier Low / Median / High Price $79.69 / $255.74 / $476.82	Professional		$79.69	$255.74	$476.82