Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.53 / $147.78 / $426.32	Facility		$112.53	$147.78	$426.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.88 / $148.63 / $241.95	Professional		$108.88	$148.63	$241.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.65 / $120.65 / $120.65	Facility		$120.65	$120.65	$120.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $174.10 / $227.58	Professional		$112.20	$174.10	$227.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $146.43 / $158.44 / $285.54	Professional		$146.43	$158.44	$285.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $246.37	Facility		$200.00	$200.00	$246.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $148.00 / $239.27	Professional		$78.00	$148.00	$239.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.78 / $160.26 / $200.32	Professional		$129.78	$160.26	$200.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $136.56 / $165.10 / $241.25	Facility		$136.56	$165.10	$241.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $190.00 / $319.00	Professional		$161.00	$190.00	$319.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $132.96 / $206.41 / $316.89	Facility		$132.96	$206.41	$316.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $146.57 / $218.72 / $336.38	Professional		$146.57	$218.72	$336.38
United Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $166.94 / $271.25	Professional		$110.00	$166.94	$271.25