Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $254.58 / $480.19	Facility		$114.01	$254.58	$480.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.60 / $114.01 / $114.01	Professional		$100.60	$114.01	$114.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.43 / $653.21 / $824.90	Facility		$509.43	$653.21	$824.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.68 / $279.68 / $439.23	Professional		$279.68	$279.68	$439.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $107.30 / $209.23	Professional		$107.30	$107.30	$209.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.18 / $295.93 / $687.78	Facility		$87.18	$295.93	$687.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.72 / $163.72 / $196.17	Professional		$163.72	$163.72	$196.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $160.96 / $198.51	Professional		$134.13	$160.96	$198.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.64 / $134.13 / $208.64	Facility		$106.64	$134.13	$208.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $265.58 / $321.91	Professional		$158.00	$265.58	$321.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $120.72 / $215.14	Facility		$63.50	$120.72	$215.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $134.13 / $215.14	Professional		$63.50	$134.13	$215.14
United Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $134.13 / $160.96	Facility		$80.48	$134.13	$160.96
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $69.75 / $154.25	Professional		$56.33	$69.75	$154.25