Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $97.72 / $467.74	Facility		$75.86	$97.72	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $208.93	Professional		$70.79	$109.65	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $77.62 / $263.03	Professional		$0.02	$77.62	$263.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $57.54 / $102.33	Professional		$51.29	$57.54	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $199.53	Professional		$89.13	$128.82	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $208.93	Professional		$87.10	$125.89	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $181.97	Professional		$117.49	$147.91	$181.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $134.90 / $208.93	Facility		$89.13	$134.90	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $275.42	Professional		$109.65	$109.65	$275.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $114.82 / $181.97	Facility		$87.10	$114.82	$181.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $234.42	Professional		$112.20	$151.36	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $194.98	Professional		$79.43	$120.23	$194.98