Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $275.42 / $524.81	Facility		$125.89	$275.42	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $204.17	Professional		$107.15	$128.82	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $269.15	Professional		$114.82	$173.78	$269.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $229.09 / $346.74	Professional		$77.62	$229.09	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $436.52 / $616.60	Facility		$371.54	$436.52	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $173.78 / $346.74	Professional		$100.00	$173.78	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $114.82	Professional		$79.43	$104.71	$114.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $186.21	Professional		$104.71	$138.04	$186.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $181.97 / $257.04	Facility		$102.33	$181.97	$257.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $204.17 / $676.08	Facility		$77.62	$204.17	$676.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $204.17 / $741.31	Professional		$77.62	$204.17	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $91.20 / $630.96	Facility		$42.66	$91.20	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $275.42	Professional		$81.28	$144.54	$275.42