Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.92 / $62.92 / $178.78	Facility		$62.92	$62.92	$178.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $62.92 / $75.01	Professional		$61.44	$62.92	$75.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.41 / $269.64 / $352.12	Facility		$213.41	$269.64	$352.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.35 / $79.42 / $111.57	Professional		$61.35	$79.42	$111.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.19 / $121.93 / $180.90	Professional		$90.19	$121.93	$180.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.11 / $212.96 / $1,673.89	Facility		$154.11	$212.96	$1,673.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $93.93 / $159.88	Professional		$51.35	$93.93	$159.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $95.66 / $98.06	Professional		$68.59	$95.66	$98.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.92 / $92.48 / $127.05	Facility		$62.92	$92.48	$127.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $114.00 / $155.00	Professional		$12.00	$114.00	$155.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.93 / $74.61 / $153.77	Facility		$9.93	$74.61	$153.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $83.73 / $173.60	Professional		$10.73	$83.73	$173.60
United Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $93.52 / $146.87	Professional		$56.89	$93.52	$146.87