Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $125.89 / $676.08	Facility		$44.67	$125.89	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $123.03	Professional		$109.65	$109.65	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $186.21	Professional		$109.65	$109.65	$186.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $316.23	Professional		$186.21	$213.80	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $109.65 / $109.65	Facility		$104.71	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $138.04	Professional		$93.33	$109.65	$138.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $109.65 / $199.53	Facility		$70.79	$109.65	$199.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $131.83 / $162.18	Facility		$104.71	$131.83	$162.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $162.18	Professional		$104.71	$131.83	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $109.65 / $138.04	Professional		$107.15	$109.65	$138.04