Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.83 / $87.77 / $624.96	Facility		$65.83	$87.77	$624.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.83 / $88.87 / $123.70	Professional		$65.83	$88.87	$123.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.03 / $91.03 / $91.03	Facility		$91.03	$91.03	$91.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $91.53 / $127.10	Professional		$67.62	$91.53	$127.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.87 / $90.02 / $154.83	Professional		$85.87	$90.02	$154.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.42 / $125.42 / $125.42	Facility		$125.42	$125.42	$125.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $102.00 / $144.56	Professional		$74.00	$102.00	$144.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $90.50 / $113.12	Professional		$66.84	$90.50	$113.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.38 / $100.39 / $139.62	Facility		$71.38	$100.39	$139.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $172.20 / $184.00	Professional		$125.00	$172.20	$184.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $79.27 / $116.56 / $173.22	Facility		$79.27	$116.56	$173.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $96.87 / $138.90 / $226.19	Professional		$96.87	$138.90	$226.19
United Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $114.64 / $185.53	Professional		$81.56	$114.64	$185.53