Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.98 / $359.98 / $645.24	Facility		$359.98	$359.98	$645.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $78.65 / $229.24	Professional		$63.84	$78.65	$229.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.93 / $117.52 / $166.86	Professional		$91.93	$117.52	$166.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $293.02 / $293.02 / $2,174.40	Professional		$293.02	$293.02	$2,174.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.24 / $510.33 / $728.26	Facility		$86.24	$510.33	$728.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.88 / $188.60 / $700.59	Professional		$150.88	$188.60	$700.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $121.56 / $124.50	Professional		$87.05	$121.56	$124.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.85 / $130.75 / $261.45	Facility		$85.85	$130.75	$261.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.84 / $306.00 / $408.12	Professional		$103.84	$306.00	$408.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.52 / $126.17 / $403.84	Facility		$67.52	$126.17	$403.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $117.31 / $403.84	Professional		$58.89	$117.31	$403.84
United Facility/Professional Professional Modifier Low / Median / High Price $84.12 / $124.98 / $213.09	Professional		$84.12	$124.98	$213.09