Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.69 / $400.68 / $772.15	Facility		$96.69	$400.68	$772.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.44 / $104.35 / $171.68	Professional		$88.44	$104.35	$171.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $410.64 / $517.89 / $677.53	Facility		$410.64	$517.89	$677.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.26 / $153.63 / $219.37	Professional		$110.26	$153.63	$219.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $150.77 / $327.61	Professional		$135.50	$150.77	$327.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.29 / $314.29 / $740.75	Facility		$189.29	$314.29	$740.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.25 / $158.13 / $325.89	Professional		$104.25	$158.13	$325.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $159.72 / $198.68	Professional		$128.26	$159.72	$198.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.07 / $151.49 / $221.81	Facility		$93.07	$151.49	$221.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $145.00 / $223.00	Professional		$48.65	$145.00	$223.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.94 / $103.29 / $189.31	Facility		$43.94	$103.29	$189.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $45.81 / $127.93 / $223.88	Professional		$45.81	$127.93	$223.88
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $185.87 / $185.87	Facility		$50.00	$185.87	$185.87
United Facility/Professional Professional Modifier Low / Median / High Price $92.69 / $142.40 / $249.94	Professional		$92.69	$142.40	$249.94