Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.67 / $109.90 / $323.04	Facility		$107.67	$109.90	$323.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.13 / $109.90 / $139.66	Professional		$102.13	$109.90	$139.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.08 / $447.37 / $584.20	Facility		$354.08	$447.37	$584.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $134.90 / $191.54	Professional		$105.52	$134.90	$191.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $143.33 / $239.00 / $764.77	Professional		$143.33	$239.00	$764.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.78 / $158.79 / $1,058.78	Facility		$99.78	$158.79	$1,058.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.35 / $179.29 / $329.31	Professional		$100.35	$179.29	$329.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.70 / $152.85 / $159.24	Professional		$115.70	$152.85	$159.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.13 / $181.96 / $351.01	Facility		$114.13	$181.96	$351.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $136.76 / $246.00	Professional		$64.00	$136.76	$246.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $123.60 / $259.45	Facility		$55.10	$123.60	$259.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $58.01 / $161.53 / $290.42	Professional		$58.01	$161.53	$290.42
United Facility/Professional Facility Modifier Low / Median / High Price $62.95 / $239.17 / $581.45	Facility		$62.95	$239.17	$581.45
United Facility/Professional Professional Modifier Low / Median / High Price $106.30 / $168.48 / $270.00	Professional		$106.30	$168.48	$270.00