Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.50 / $70.23 / $198.74	Facility		$66.50	$70.23	$198.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.11 / $70.23 / $70.23	Professional		$63.11	$70.23	$70.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.13 / $256.64 / $335.15	Facility		$203.13	$256.64	$335.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $78.66 / $110.50	Professional		$59.67	$78.66	$110.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $190.22 / $287.58	Professional		$83.85	$190.22	$287.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.85 / $203.50 / $397.26	Facility		$153.85	$203.50	$397.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $96.08 / $164.76	Professional		$53.24	$96.08	$164.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $90.82 / $93.28	Professional		$65.04	$90.82	$93.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.02 / $96.43 / $139.84	Facility		$69.02	$96.43	$139.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $90.00 / $130.00	Professional		$9.36	$90.00	$130.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.17 / $80.42 / $170.63	Facility		$9.17	$80.42	$170.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $88.47 / $293.77	Professional		$9.46	$88.47	$293.77
United Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $102.29 / $159.53	Professional		$62.10	$102.29	$159.53