Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.89 / $114.52 / $401.08	Facility		$85.89	$114.52	$401.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.69 / $117.21 / $162.56	Professional		$87.69	$117.21	$162.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.72 / $119.72 / $119.72	Facility		$119.72	$119.72	$119.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.14 / $124.40 / $169.48	Professional		$92.14	$124.40	$169.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $105.70 / $117.44 / $202.00	Professional		$105.70	$117.44	$202.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.89 / $175.89 / $175.89	Facility		$175.89	$175.89	$175.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $134.00 / $189.52	Professional		$97.00	$134.00	$189.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $121.40 / $151.76	Professional		$94.65	$121.40	$151.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.34 / $133.08 / $183.78	Facility		$97.34	$133.08	$183.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $226.00 / $248.88	Professional		$167.00	$226.00	$248.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.23 / $152.81 / $229.77	Facility		$104.23	$152.81	$229.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $182.30 / $291.06	Professional		$127.00	$182.30	$291.06
United Facility/Professional Professional Modifier Low / Median / High Price $108.59 / $150.28 / $268.29	Professional		$108.59	$150.28	$268.29