Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $109.65 / $141.25	Facility		$93.33	$109.65	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $177.83	Professional		$93.33	$123.03	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $234.42	Professional		$109.65	$177.83	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $147.91 / $186.21	Professional		$144.54	$147.91	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $288.40	Professional		$104.71	$169.82	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $194.98	Professional		$109.65	$147.91	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $151.36 / $229.09	Facility		$120.23	$151.36	$229.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $128.82	Professional		$120.23	$120.23	$128.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $208.93 / $295.12	Facility		$128.82	$208.93	$295.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $309.03	Professional		$141.25	$218.78	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $741.31	Facility		$109.65	$109.65	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $269.15	Professional		$102.33	$154.88	$269.15