Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.89 / $81.81 / $211.89	Facility		$73.89	$81.81	$211.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $74.62 / $87.30	Professional		$69.98	$74.62	$87.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.45 / $323.44 / $423.14	Facility		$256.45	$323.44	$423.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $97.98 / $138.52	Professional		$75.23	$97.98	$138.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $96.36 / $254.23	Professional		$86.72	$96.36	$254.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.79 / $217.17 / $390.91	Facility		$107.79	$217.17	$390.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.63 / $95.66 / $199.68	Professional		$66.63	$95.66	$199.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $99.38 / $122.74	Professional		$80.31	$99.38	$122.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.89 / $112.09 / $155.52	Facility		$73.89	$112.09	$155.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $69.00 / $127.18	Professional		$43.00	$69.00	$127.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.24 / $69.50 / $136.54	Facility		$38.24	$69.50	$136.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $94.38 / $166.48	Professional		$39.15	$94.38	$166.48
United Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $93.29 / $143.77	Professional		$59.18	$93.29	$143.77