Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.04 / $195.23 / $816.13	Facility		$83.04	$195.23	$816.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.68 / $83.42 / $168.71	Professional		$77.68	$83.42	$168.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.87 / $330.26 / $432.07	Facility		$261.87	$330.26	$432.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.52 / $101.32 / $142.10	Professional		$80.52	$101.32	$142.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $105.58 / $105.58 / $319.52	Professional		$105.58	$105.58	$319.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.68 / $143.63 / $439.21	Facility		$97.68	$143.63	$439.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.69 / $117.14 / $227.89	Professional		$72.69	$117.14	$227.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $100.34 / $124.56	Professional		$81.23	$100.34	$124.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.04 / $130.97 / $206.57	Facility		$83.04	$130.97	$206.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $80.00 / $160.00	Professional		$58.00	$80.00	$160.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.17 / $79.04 / $170.27	Facility		$50.17	$79.04	$170.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $108.93 / $210.28	Professional		$51.47	$108.93	$210.28
United Facility/Professional Facility Modifier Low / Median / High Price $78.22 / $78.22 / $78.22	Facility		$78.22	$78.22	$78.22
United Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $109.04 / $164.70	Professional		$70.31	$109.04	$164.70