Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $229.09	Facility		$204.17	$204.17	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $309.03	Professional		$173.78	$208.93	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $489.78	Professional		$186.21	$269.15	$489.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $208.93 / $389.05	Professional		$104.71	$208.93	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $186.21 / $323.59	Facility		$123.03	$186.21	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $446.68	Professional		$162.18	$257.04	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $323.59	Professional		$199.53	$251.19	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $245.47	Professional		$162.18	$199.53	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $239.88 / $398.11	Facility		$181.97	$239.88	$398.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $162.18 / $407.38	Facility		$93.33	$162.18	$407.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $204.17 / $501.19	Professional		$93.33	$204.17	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $223.87 / $794.33	Facility		$48.98	$223.87	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $426.58	Professional		$128.82	$223.87	$426.58