Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.48 / $541.76 / $1,288.11	Facility		$123.48	$541.76	$1,288.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $148.62 / $206.99	Professional		$99.03	$148.62	$206.99
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 $137.50 / $137.50 / $1,629.35	Professional		$137.50	$137.50	$1,629.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.72 / $374.64 / $750.71	Facility		$365.72	$374.64	$750.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.59 / $235.99 / $433.97	Professional		$166.59	$235.99	$433.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.48 / $248.80 / $314.83	Professional		$211.48	$248.80	$314.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.48 / $181.46 / $286.14	Facility		$123.48	$181.46	$286.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $235.94 / $299.20 / $428.02	Professional		$235.94	$299.20	$428.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $128.22 / $190.31 / $365.89	Facility		$128.22	$190.31	$365.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $128.22 / $190.31 / $365.89	Professional		$128.22	$190.31	$365.89
United Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $165.00 / $247.50	Professional		$93.75	$165.00	$247.50