Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.19 / $191.79 / $482.83	Facility		$170.19	$191.79	$482.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.19 / $170.19 / $191.79	Professional		$170.19	$170.19	$191.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $525.90 / $664.45 / $867.69	Facility		$525.90	$664.45	$867.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.44 / $213.67 / $305.07	Professional		$158.44	$213.67	$305.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $192.10 / $253.70 / $373.17	Professional		$192.10	$253.70	$373.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.05 / $559.51 / $912.48	Facility		$370.05	$559.51	$912.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.47 / $213.07 / $374.38	Professional		$112.47	$213.07	$374.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.76 / $235.19 / $241.79	Professional		$168.76	$235.19	$241.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.47 / $237.82 / $334.04	Facility		$165.47	$237.82	$334.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $214.00 / $338.83	Professional		$31.00	$214.00	$338.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $176.11 / $405.29	Facility		$27.11	$176.11	$405.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $203.00 / $458.71	Professional		$29.94	$203.00	$458.71
United Facility/Professional Professional Modifier Low / Median / High Price $133.93 / $258.52 / $387.16	Professional		$133.93	$258.52	$387.16