Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $112.20 / $288.40	Facility		$91.20	$112.20	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $194.98	Professional		$97.72	$114.82	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $245.47	Facility		$229.09	$229.09	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $281.84	Professional		$134.90	$134.90	$281.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $158.49	Professional		$120.23	$120.23	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $141.25 / $141.25	Facility		$95.50	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $141.25	Professional		$102.33	$102.33	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $323.59	Professional		$162.18	$229.09	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $223.87	Professional		$117.49	$151.36	$223.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $151.36 / $309.03	Facility		$93.33	$151.36	$309.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $288.40	Professional		$123.03	$151.36	$288.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $186.21 / $660.69	Facility		$123.03	$186.21	$660.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $660.69	Professional		$123.03	$186.21	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $112.20 / $363.08	Facility		$75.86	$112.20	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $112.20 / $181.97	Professional		$102.33	$112.20	$181.97