Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.72 / $376.47 / $1,553.41	Facility		$117.72	$376.47	$1,553.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $125.49 / $133.25	Professional		$94.12	$125.49	$133.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $125.49 / $616.78	Facility		$125.49	$125.49	$616.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $70.62 / $113.51	Professional		$70.62	$70.62	$113.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.49 / $244.71 / $766.22	Professional		$125.49	$244.71	$766.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.83 / $329.96 / $642.45	Facility		$146.83	$329.96	$642.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $93.74 / $249.19	Professional		$64.93	$93.74	$249.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.49 / $150.59 / $238.43	Professional		$125.49	$150.59	$238.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.65 / $227.16 / $424.48	Facility		$121.65	$227.16	$424.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $130.34 / $238.00 / $318.00	Professional		$130.34	$238.00	$318.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $120.49 / $181.98 / $1,413.67	Facility		$120.49	$181.98	$1,413.67
Sentara Facility/Professional Professional Modifier Low / Median / High Price $120.49 / $181.98 / $1,413.67	Professional		$120.49	$181.98	$1,413.67
United Facility/Professional Facility Modifier Low / Median / High Price $52.71 / $52.71 / $52.71	Facility		$52.71	$52.71	$52.71
United Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $122.98 / $261.48	Professional		$75.29	$122.98	$261.48