Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.20 / $78.91 / $349.00	Facility		$66.20	$78.91	$349.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $66.20 / $82.95	Professional		$56.71	$66.20	$82.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.66 / $266.94 / $349.22	Facility		$211.66	$266.94	$349.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $81.73 / $121.31	Professional		$63.92	$81.73	$121.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.17 / $86.17 / $402.28	Professional		$86.17	$86.17	$402.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.64 / $193.02 / $825.00	Facility		$120.64	$193.02	$825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.92 / $106.37 / $192.71	Professional		$56.92	$106.37	$192.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $79.77 / $98.04	Professional		$66.48	$79.77	$98.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.20 / $99.36 / $227.34	Facility		$66.20	$99.36	$227.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $84.44 / $152.00	Professional		$29.00	$84.44	$152.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.26 / $75.15 / $143.60	Facility		$26.26	$75.15	$143.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $96.07 / $158.69	Professional		$28.60	$96.07	$158.69
United Facility/Professional Facility Modifier Low / Median / High Price $159.61 / $528.75 / $929.24	Facility		$159.61	$528.75	$929.24
United Facility/Professional Professional Modifier Low / Median / High Price $59.26 / $105.52 / $193.91	Professional		$59.26	$105.52	$193.91