Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.48 / $99.48 / $284.39	Facility		$99.48	$99.48	$284.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.52 / $99.48 / $125.48	Professional		$96.52	$99.48	$125.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $334.17 / $422.22 / $551.36	Facility		$334.17	$422.22	$551.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.60 / $126.65 / $176.78	Professional		$98.60	$126.65	$176.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $140.35 / $467.87 / $707.35	Professional		$140.35	$467.87	$707.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.52 / $297.29 / $1,673.89	Facility		$214.52	$297.29	$1,673.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $179.14 / $290.18	Professional		$95.52	$179.14	$290.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.65 / $148.51 / $154.47	Professional		$107.65	$148.51	$154.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.38 / $157.82 / $276.00	Facility		$104.38	$157.82	$276.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $158.00 / $232.00	Professional		$39.00	$158.00	$232.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.93 / $129.12 / $265.11	Facility		$31.93	$129.12	$265.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $152.49 / $483.65	Professional		$34.86	$152.49	$483.65
United Facility/Professional Professional Modifier Low / Median / High Price $102.68 / $167.66 / $260.19	Professional		$102.68	$167.66	$260.19