Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.48 / $119.14 / $283.27	Facility		$69.48	$119.14	$283.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $71.98 / $144.26	Professional		$65.31	$71.98	$144.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.64 / $279.52 / $365.69	Facility		$221.64	$279.52	$365.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.53 / $85.71 / $120.19	Professional		$68.53	$85.71	$120.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.65 / $86.65 / $169.77	Professional		$86.65	$86.65	$169.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.94 / $83.14 / $286.95	Facility		$79.94	$83.14	$286.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $98.69 / $175.99	Professional		$60.53	$98.69	$175.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $84.50 / $104.24	Professional		$68.41	$84.50	$104.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.48 / $107.61 / $141.40	Facility		$69.48	$107.61	$141.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $72.00 / $133.00	Professional		$40.00	$72.00	$133.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $34.79 / $67.02 / $129.12	Facility		$34.79	$67.02	$129.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $91.32 / $155.47	Professional		$37.52	$91.32	$155.47
United Facility/Professional Professional Modifier Low / Median / High Price $59.86 / $90.41 / $132.36	Professional		$59.86	$90.41	$132.36