Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $223.87 / $416.87	Facility		$79.43	$223.87	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $123.03	Professional		$70.79	$83.18	$123.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $562.34 / $660.69	Facility		$426.58	$562.34	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $229.09	Professional		$134.90	$134.90	$229.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $97.72	Professional		$83.18	$87.10	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $263.03 / $549.54	Facility		$109.65	$263.03	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $131.83 / $154.88	Professional		$63.10	$131.83	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $151.36	Professional		$107.15	$117.49	$151.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $120.23 / $177.83	Facility		$85.11	$120.23	$177.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $223.87	Professional		$69.18	$69.18	$223.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $107.15 / $208.93	Facility		$74.13	$107.15	$208.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $208.93	Professional		$74.13	$107.15	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $107.15 / $128.82	Facility		$64.57	$107.15	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $123.03	Professional		$44.67	$53.70	$123.03