Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.60 / $197.29 / $561.11	Facility		$161.60	$197.29	$561.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.62 / $176.93 / $213.31	Professional		$148.62	$176.93	$213.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.37 / $474.66 / $620.98	Facility		$376.37	$474.66	$620.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.53 / $168.20 / $254.82	Professional		$131.53	$168.20	$254.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.83 / $265.75 / $502.27	Professional		$194.83	$265.75	$502.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.57 / $159.57 / $159.57	Facility		$159.57	$159.57	$159.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.95 / $244.94 / $468.79	Professional		$119.95	$244.94	$468.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.89 / $145.86 / $173.64	Professional		$117.89	$145.86	$173.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.60 / $266.00 / $367.97	Facility		$161.60	$266.00	$367.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $223.00 / $336.77	Professional		$57.00	$223.00	$336.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.75 / $215.85 / $383.20	Facility		$50.75	$215.85	$383.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $254.81 / $416.23	Professional		$54.11	$254.81	$416.23
United Facility/Professional Professional Modifier Low / Median / High Price $160.86 / $264.12 / $406.37	Professional		$160.86	$264.12	$406.37