Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.64 / $214.64 / $239.95	Facility		$214.64	$214.64	$239.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.05 / $214.64 / $244.65	Professional		$159.05	$214.64	$244.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.39 / $230.16 / $337.71	Professional		$175.39	$230.16	$337.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $139.61 / $306.29	Professional		$112.05	$139.61	$306.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $231.50 / $693.75	Facility		$143.87	$231.50	$693.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $120.94 / $219.08	Professional		$81.31	$120.94	$219.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $114.81 / $181.51	Professional		$92.84	$114.81	$181.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.03 / $214.64 / $362.09	Facility		$125.03	$214.64	$362.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $71.00 / $434.00	Professional		$52.00	$71.00	$434.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $48.83 / $81.02 / $150.86	Facility		$48.83	$81.02	$150.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $117.75 / $187.13	Professional		$54.42	$117.75	$187.13
United Facility/Professional Facility Modifier Low / Median / High Price $368.90 / $528.75 / $528.75	Facility		$368.90	$528.75	$528.75
United Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $232.40 / $416.04	Professional		$90.75	$232.40	$416.04