Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $64.52 / $183.54	Facility		$64.52	$64.52	$183.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $64.52 / $79.61	Professional		$62.87	$64.52	$79.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.37 / $275.91 / $360.30	Facility		$218.37	$275.91	$360.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.73 / $81.11 / $114.27	Professional		$63.73	$81.11	$114.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $92.14 / $203.02 / $306.94	Professional		$92.14	$203.02	$306.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.11 / $215.80 / $1,673.89	Facility		$154.11	$215.80	$1,673.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $102.82 / $171.07	Professional		$57.67	$102.82	$171.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $97.76 / $100.46	Professional		$70.23	$97.76	$100.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.88 / $99.52 / $133.97	Facility		$67.88	$99.52	$133.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $107.05 / $149.00	Professional		$15.00	$107.05	$149.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $82.50 / $153.46	Facility		$12.26	$82.50	$153.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $89.56 / $178.02	Professional		$12.71	$89.56	$178.02
United Facility/Professional Facility Modifier Low / Median / High Price $320.14 / $866.23 / $866.23	Facility		$320.14	$866.23	$866.23
United Facility/Professional Professional Modifier Low / Median / High Price $61.93 / $101.83 / $155.34	Professional		$61.93	$101.83	$155.34