Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $134.19 / $320.12	Facility		$134.19	$134.19	$320.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $134.19 / $134.19	Professional		$134.19	$134.19	$134.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $283.14 / $456.25	Facility		$134.19	$283.14	$456.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $134.19 / $134.19	Professional		$134.19	$134.19	$134.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $196.66 / $223.79 / $337.72	Professional		$196.66	$223.79	$337.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $126.60 / $177.04	Facility		$126.60	$126.60	$177.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.04 / $177.04 / $177.04	Professional		$177.04	$177.04	$177.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.06 / $161.03 / $195.02	Professional		$114.06	$161.03	$195.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.45 / $134.19 / $198.87	Facility		$120.45	$134.19	$198.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $203.00 / $203.00	Professional		$132.00	$203.00	$203.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $169.40 / $180.21 / $232.68	Facility		$169.40	$180.21	$232.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.40 / $180.21 / $232.68	Professional		$169.40	$180.21	$232.68
United Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $171.34 / $195.02	Professional		$134.19	$171.34	$195.02