Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $133.57 / $810.33	Facility		$56.69	$133.57	$810.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $58.16 / $121.20	Professional		$53.47	$58.16	$121.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.11 / $227.15 / $297.16	Facility		$180.11	$227.15	$297.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $69.59 / $97.12	Professional		$55.31	$69.59	$97.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.17 / $71.17 / $285.89	Professional		$71.17	$71.17	$285.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.18 / $80.15 / $286.95	Facility		$67.18	$80.15	$286.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $85.04 / $142.97	Professional		$50.59	$85.04	$142.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $68.68 / $85.03	Professional		$55.56	$68.68	$85.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.23 / $89.87 / $145.44	Facility		$57.23	$89.87	$145.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $60.00 / $117.00	Professional		$30.96	$60.00	$117.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.36 / $56.76 / $112.82	Facility		$28.36	$56.76	$112.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $78.31 / $131.19	Professional		$32.77	$78.31	$131.19
United Facility/Professional Professional Modifier Low / Median / High Price $50.58 / $76.61 / $132.68	Professional		$50.58	$76.61	$132.68