Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.38 / $94.38 / $269.43	Facility		$94.38	$94.38	$269.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.90 / $94.38 / $116.45	Professional		$91.90	$94.38	$116.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.08 / $401.88 / $524.79	Facility		$318.08	$401.88	$524.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.49 / $120.09 / $167.62	Professional		$93.49	$120.09	$167.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $381.28 / $576.42	Professional		$133.37	$381.28	$576.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.47 / $285.92 / $888.98	Facility		$209.47	$285.92	$888.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $160.71 / $265.30	Professional		$83.69	$160.71	$265.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.40 / $141.59 / $146.88	Professional		$102.40	$141.59	$146.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.24 / $147.16 / $225.00	Facility		$99.24	$147.16	$225.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $149.00 / $209.00	Professional		$33.00	$149.00	$209.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $27.40 / $122.57 / $250.91	Facility		$27.40	$122.57	$250.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $140.84 / $457.75	Professional		$29.13	$140.84	$457.75
United Facility/Professional Facility Modifier Low / Median / High Price $194.50 / $866.23 / $866.23	Facility		$194.50	$866.23	$866.23
United Facility/Professional Professional Modifier Low / Median / High Price $94.04 / $159.06 / $238.74	Professional		$94.04	$159.06	$238.74