Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $190.55 / $602.56	Facility		$42.66	$190.55	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $107.15 / $181.97	Professional		$38.90	$107.15	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $123.03 / $257.04	Professional		$45.71	$123.03	$257.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $53.70 / $74.13	Professional		$48.98	$53.70	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $398.11 / $1,122.02	Facility		$107.15	$398.11	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $125.89 / $257.04	Professional		$44.67	$125.89	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $234.42	Professional		$123.03	$158.49	$234.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $331.13	Professional		$199.53	$245.47	$331.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $125.89 / $251.19	Facility		$44.67	$125.89	$251.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $524.81	Professional		$134.90	$134.90	$524.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $63.10 / $112.20	Facility		$41.69	$63.10	$112.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $309.03	Professional		$128.82	$194.98	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $645.65 / $2,041.74	Facility		$575.44	$645.65	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $97.72 / $245.47	Professional		$39.81	$97.72	$245.47