Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $316.23 / $588.84	Facility		$112.20	$316.23	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $173.78	Professional		$100.00	$117.49	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $100.00	Professional		$60.26	$60.26	$100.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $123.03 / $134.90	Professional		$114.82	$123.03	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $371.54 / $776.25	Facility		$151.36	$371.54	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $199.53	Professional		$87.10	$165.96	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $208.93	Professional		$151.36	$165.96	$208.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $169.82 / $251.19	Facility		$120.23	$169.82	$251.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $316.23	Professional		$97.72	$97.72	$316.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $151.36 / $288.40	Facility		$104.71	$151.36	$288.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $288.40	Professional		$104.71	$151.36	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $173.78	Professional		$63.10	$75.86	$173.78