Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.87 / $67.87 / $554.22	Facility		$67.87	$67.87	$554.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.67 / $67.87 / $70.73	Professional		$62.67	$67.87	$70.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.66 / $128.66 / $136.65	Facility		$128.66	$128.66	$136.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $235.00 / $288.95	Professional		$235.00	$235.00	$288.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $71.84 / $87.96	Professional		$71.84	$71.84	$87.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $104.66 / $104.66	Facility		$104.66	$104.66	$104.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $88.96 / $104.66	Professional		$88.96	$88.96	$104.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.07 / $109.37 / $154.40	Professional		$90.07	$109.37	$154.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.93 / $79.14 / $146.47	Facility		$37.93	$79.14	$146.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $169.01 / $214.32	Professional		$74.00	$169.01	$214.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.23 / $97.40 / $161.12	Facility		$74.23	$97.40	$161.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $97.40 / $161.12	Professional		$74.23	$97.40	$161.12
United Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $64.19 / $93.19	Professional		$58.03	$64.19	$93.19