Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.72 / $159.25 / $541.76	Facility		$98.72	$159.25	$541.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.11 / $131.02 / $184.35	Professional		$79.11	$131.02	$184.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.26 / $597.08 / $862.30	Professional		$453.26	$597.08	$862.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $1,629.35	Professional		$110.00	$110.00	$1,629.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.72 / $374.64 / $389.83	Facility		$365.72	$374.64	$389.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.55 / $205.74 / $384.71	Professional		$146.55	$205.74	$384.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.08 / $236.57 / $299.30	Professional		$201.08	$236.57	$299.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.72 / $159.25 / $254.80	Facility		$98.72	$159.25	$254.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $209.15 / $265.23 / $380.93	Professional		$209.15	$265.23	$380.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $103.30 / $156.04 / $344.03	Facility		$103.30	$156.04	$344.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $103.30 / $156.04 / $344.03	Professional		$103.30	$156.04	$344.03
United Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $116.85 / $190.77	Professional		$71.25	$116.85	$190.77