Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.01 / $173.40 / $401.88	Facility		$83.01	$173.40	$401.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.01 / $92.60 / $151.87	Professional		$83.01	$92.60	$151.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.41 / $381.39 / $498.95	Facility		$302.41	$381.39	$498.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $112.87 / $161.16	Professional		$86.96	$112.87	$161.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $109.72 / $293.64	Professional		$99.39	$109.72	$293.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.54 / $238.14 / $518.92	Facility		$152.54	$238.14	$518.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.02 / $119.68 / $238.96	Professional		$79.02	$119.68	$238.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.60 / $117.37 / $146.12	Professional		$94.60	$117.37	$146.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.83 / $132.12 / $182.38	Facility		$84.83	$132.12	$182.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $108.00 / $178.36	Professional		$40.00	$108.00	$178.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $91.67 / $172.42	Facility		$36.74	$91.67	$172.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $114.06 / $202.40	Professional		$39.27	$114.06	$202.40
United Facility/Professional Professional Modifier Low / Median / High Price $74.18 / $114.61 / $185.87	Professional		$74.18	$114.61	$185.87