Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.46 / $92.46 / $263.70	Facility		$92.46	$92.46	$263.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.50 / $92.46 / $105.96	Professional		$90.50	$92.46	$105.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.14 / $395.65 / $516.66	Facility		$313.14	$395.65	$516.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $117.78 / $164.40	Professional		$91.70	$117.78	$164.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $411.64 / $622.34	Professional		$107.15	$411.64	$622.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.68 / $269.10 / $888.98	Facility		$208.68	$269.10	$888.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.41 / $149.59 / $259.99	Professional		$82.41	$149.59	$259.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.76 / $139.54 / $144.47	Professional		$100.76	$139.54	$144.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.73 / $145.62 / $241.00	Facility		$94.73	$145.62	$241.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $124.97 / $195.62	Professional		$26.00	$124.97	$195.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.95 / $113.72 / $232.46	Facility		$23.95	$113.72	$232.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $128.61 / $422.99	Professional		$24.29	$128.61	$422.99
United Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $139.99 / $234.46	Professional		$84.66	$139.99	$234.46