Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.32 / $221.09 / $1,058.17	Facility		$90.32	$221.09	$1,058.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $93.89 / $136.90	Professional		$74.48	$93.89	$136.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.33 / $411.56 / $538.42	Facility		$326.33	$411.56	$538.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $120.22 / $174.28	Professional		$85.40	$120.22	$174.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $118.58 / $118.58 / $348.90	Professional		$118.58	$118.58	$348.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.40 / $262.66 / $537.85	Facility		$176.40	$262.66	$537.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $121.25 / $220.63	Professional		$78.06	$121.25	$220.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.56 / $123.07 / $151.15	Professional		$102.56	$123.07	$151.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.32 / $128.13 / $182.38	Facility		$90.32	$128.13	$182.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $91.00 / $174.94	Professional		$44.38	$91.00	$174.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.58 / $91.46 / $211.18	Facility		$38.58	$91.46	$211.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $118.29 / $234.73	Professional		$44.20	$118.29	$234.73
United Facility/Professional Facility Modifier Low / Median / High Price $59.55 / $250.18 / $250.18	Facility		$59.55	$250.18	$250.18
United Facility/Professional Professional Modifier Low / Median / High Price $66.88 / $110.65 / $197.61	Professional		$66.88	$110.65	$197.61