Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.99 / $108.98 / $311.88	Facility		$103.99	$108.98	$311.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.06 / $103.99 / $140.41	Professional		$89.06	$103.99	$140.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.39 / $414.16 / $541.82	Facility		$328.39	$414.16	$541.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $122.07 / $190.57	Professional		$97.10	$122.07	$190.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $143.36 / $146.53 / $252.48	Professional		$143.36	$146.53	$252.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.17 / $301.49 / $825.00	Facility		$188.17	$301.49	$825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $142.78 / $271.44	Professional		$79.31	$142.78	$271.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.22 / $123.87 / $152.10	Professional		$103.22	$123.87	$152.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.00 / $145.59 / $220.04	Facility		$92.00	$145.59	$220.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $138.00 / $270.00	Professional		$46.00	$138.00	$270.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.03 / $106.49 / $209.60	Facility		$42.03	$106.49	$209.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $139.78 / $243.48	Professional		$46.01	$139.78	$243.48
United Facility/Professional Facility Modifier Low / Median / High Price $546.17 / $1,242.08 / $1,242.08	Facility		$546.17	$1,242.08	$1,242.08
United Facility/Professional Professional Modifier Low / Median / High Price $84.29 / $134.93 / $228.58	Professional		$84.29	$134.93	$228.58