Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.62 / $124.34 / $468.00	Facility		$96.62	$124.34	$468.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.65 / $135.13 / $215.22	Professional		$96.65	$135.13	$215.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.48 / $101.48 / $101.48	Facility		$101.48	$101.48	$101.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.94 / $157.19 / $201.17	Professional		$104.94	$157.19	$201.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $137.01 / $137.01 / $258.95	Professional		$137.01	$137.01	$258.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.96 / $231.96 / $250.00	Facility		$231.96	$231.96	$250.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $130.04 / $213.14	Professional		$74.00	$130.04	$213.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $147.84 / $187.82	Professional		$117.60	$147.84	$187.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.16 / $146.28 / $198.62	Facility		$117.16	$146.28	$198.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $178.00 / $309.00	Professional		$157.00	$178.00	$309.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $127.21 / $186.58 / $282.58	Facility		$127.21	$186.58	$282.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $197.64 / $310.10	Professional		$133.34	$197.64	$310.10
United Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $146.08 / $246.44	Professional		$95.00	$146.08	$246.44