Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $117.49 / $281.84	Facility		$112.20	$117.49	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $204.17	Professional		$104.71	$120.23	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $549.54 / $660.69	Facility		$467.74	$549.54	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $245.47	Professional		$117.49	$165.96	$245.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $223.87 / $1,258.93	Professional		$31.62	$223.87	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $512.86 / $758.58	Facility		$263.03	$512.86	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $208.93 / $416.87	Professional		$104.71	$208.93	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $181.97	Professional		$125.89	$173.78	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $549.54	Professional		$389.05	$446.68	$549.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $204.17 / $457.09	Facility		$114.82	$204.17	$457.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $162.18 / $371.54	Facility		$31.62	$162.18	$371.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $181.97 / $426.58	Professional		$34.67	$181.97	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $371.54 / $1,862.09	Facility		$36.31	$371.54	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $436.52	Professional		$123.03	$204.17	$436.52