Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.10 / $154.10 / $436.51	Facility		$154.10	$154.10	$436.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.79 / $154.10 / $182.97	Professional		$144.79	$154.10	$182.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.05 / $593.90 / $775.55	Facility		$470.05	$593.90	$775.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.83 / $177.51 / $250.09	Professional		$137.83	$177.51	$250.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.72 / $294.00 / $432.63	Professional		$218.72	$294.00	$432.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.25 / $535.12 / $968.33	Facility		$350.25	$535.12	$968.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.31 / $215.36 / $338.62	Professional		$118.31	$215.36	$338.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $210.23 / $216.02	Professional		$150.72	$210.23	$216.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.07 / $219.12 / $306.64	Facility		$154.07	$219.12	$306.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $248.00 / $361.00	Professional		$25.00	$248.00	$361.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.98 / $190.49 / $405.38	Facility		$20.98	$190.49	$405.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $205.11 / $556.51	Professional		$22.54	$205.11	$556.51
United Facility/Professional Professional Modifier Low / Median / High Price $132.08 / $225.44 / $355.40	Professional		$132.08	$225.44	$355.40