Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $95.50 / $204.17	Facility		$75.86	$95.50	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $131.83	Professional		$63.10	$77.62	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $158.49	Facility		$147.91	$147.91	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $181.97	Professional		$87.10	$87.10	$181.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $102.33	Professional		$77.62	$77.62	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $128.82 / $128.82	Facility		$102.33	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $125.89	Professional		$109.65	$109.65	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $208.93	Professional		$104.71	$147.91	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $144.54	Professional		$72.44	$97.72	$144.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $109.65 / $204.17	Facility		$63.10	$109.65	$204.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $95.50	Professional		$79.43	$87.10	$95.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $120.23 / $426.58	Facility		$83.18	$120.23	$426.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $426.58	Professional		$83.18	$120.23	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $109.65 / $234.42	Facility		$56.23	$109.65	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $72.44 / $112.20	Professional		$67.61	$72.44	$112.20