Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $67.61 / $158.49	Facility		$64.57	$67.61	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $107.15	Professional		$58.88	$67.61	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $316.23 / $380.19	Facility		$263.03	$316.23	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $138.04	Professional		$67.61	$91.20	$138.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $316.23	Professional		$74.13	$125.89	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $316.23 / $1,659.59	Facility		$162.18	$316.23	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $169.82	Professional		$61.66	$102.33	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $104.71	Professional		$72.44	$100.00	$104.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.20 / $138.04	Professional		$100.00	$112.20	$138.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $109.65 / $173.78	Facility		$64.57	$109.65	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $83.18 / $169.82	Facility		$12.02	$83.18	$169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $91.20 / $251.19	Professional		$13.18	$91.20	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $104.71 / $1,862.09	Facility		$13.80	$104.71	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $165.96	Professional		$64.57	$109.65	$165.96