Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.60 / $166.46 / $472.31	Facility		$139.60	$166.46	$472.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.60 / $166.46 / $166.46	Professional		$139.60	$166.46	$166.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.51 / $508.56 / $664.10	Facility		$402.51	$508.56	$664.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.65 / $153.68 / $214.51	Professional		$119.65	$153.68	$214.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.60 / $282.25 / $418.78	Professional		$186.60	$282.25	$418.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.06 / $481.67 / $877.93	Facility		$282.06	$481.67	$877.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.96 / $195.45 / $363.39	Professional		$101.96	$195.45	$363.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.35 / $179.47 / $185.50	Professional		$129.35	$179.47	$185.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.60 / $206.61 / $304.62	Facility		$139.60	$206.61	$304.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $211.00 / $305.00	Professional		$33.00	$211.00	$305.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $169.85 / $376.39	Facility		$30.39	$169.85	$376.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $191.77 / $421.85	Professional		$32.15	$191.77	$421.85
United Facility/Professional Facility Modifier Low / Median / High Price $149.22 / $866.23 / $866.23	Facility		$149.22	$866.23	$866.23
United Facility/Professional Professional Modifier Low / Median / High Price $114.50 / $245.04 / $378.14	Professional		$114.50	$245.04	$378.14