Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $288.40 / $660.69	Facility		$151.36	$288.40	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $346.74	Professional		$125.89	$158.49	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $660.69 / $831.76	Facility		$562.34	$660.69	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $309.03	Professional		$134.90	$208.93	$309.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $158.49 / $251.19	Professional		$37.15	$158.49	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $501.19 / $870.96	Facility		$239.88	$501.19	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $338.84	Professional		$87.10	$158.49	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $229.09	Professional		$147.91	$181.97	$229.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $147.91	Professional		$93.33	$134.90	$147.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $181.97 / $288.40	Facility		$112.20	$181.97	$288.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $257.04	Professional		$120.23	$120.23	$257.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $128.82 / $295.12	Facility		$42.66	$128.82	$295.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $154.88 / $323.59	Professional		$45.71	$154.88	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $162.18 / $524.81	Facility		$37.15	$162.18	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $144.54 / $275.42	Professional		$66.07	$144.54	$275.42