Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $70.56 / $201.16	Facility		$70.56	$70.56	$201.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $70.56 / $91.28	Professional		$68.38	$70.56	$91.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.07 / $365.23 / $476.94	Facility		$289.07	$365.23	$476.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.44 / $89.32 / $126.27	Professional		$69.44	$89.32	$126.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $329.67 / $498.41	Professional		$103.02	$329.67	$498.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.68 / $232.85 / $1,673.89	Facility		$161.68	$232.85	$1,673.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $125.19 / $203.54	Professional		$67.63	$125.19	$203.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.89 / $129.22 / $133.04	Professional		$92.89	$129.22	$133.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.28 / $111.54 / $192.00	Facility		$71.28	$111.54	$192.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $114.00 / $162.00	Professional		$20.00	$114.00	$162.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $94.76 / $167.74	Facility		$16.97	$94.76	$167.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $106.75 / $194.68	Professional		$17.92	$106.75	$194.68
United Facility/Professional Professional Modifier Low / Median / High Price $72.27 / $111.20 / $181.31	Professional		$72.27	$111.20	$181.31