Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.45 / $112.90 / $250.00	Facility		$93.45	$112.90	$250.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $112.90 / $199.93	Professional		$93.45	$112.90	$199.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.32 / $228.32 / $242.48	Facility		$228.32	$228.32	$242.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.31 / $127.31 / $159.15	Professional		$127.31	$127.31	$159.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $138.91 / $138.91	Professional		$138.91	$138.91	$138.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $130.59 / $130.59	Facility		$130.59	$130.59	$130.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $95.33 / $184.20	Professional		$95.33	$95.33	$184.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.82 / $205.49 / $273.98	Professional		$159.82	$205.49	$273.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $132.09 / $255.15	Facility		$67.31	$132.09	$255.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $172.14 / $274.00 / $380.31	Professional		$172.14	$274.00	$380.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $125.10 / $173.11 / $285.89	Facility		$125.10	$173.11	$285.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $173.11 / $285.89	Professional		$125.10	$173.11	$285.89
United Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $113.91 / $171.61	Professional		$94.68	$113.91	$171.61