Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $154.88 / $489.78	Facility		$83.18	$154.88	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $234.42	Professional		$61.66	$93.33	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $177.83	Professional		$87.10	$131.83	$177.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $234.42	Professional		$85.11	$100.00	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $79.43 / $204.17	Facility		$72.44	$79.43	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $204.17	Professional		$91.20	$120.23	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $141.25	Professional		$95.50	$114.82	$141.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $102.33 / $177.83	Facility		$67.61	$102.33	$177.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $120.23 / $346.74	Facility		$91.20	$120.23	$346.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $346.74	Professional		$91.20	$120.23	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $120.23 / $120.23	Facility		$109.65	$120.23	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $162.18	Professional		$74.13	$104.71	$162.18