Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $1,148.15	Facility		$162.18	$162.18	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $288.40	Professional		$173.78	$173.78	$288.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $363.08	Professional		$213.80	$245.47	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $204.17 / $204.17	Facility		$154.88	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $204.17	Professional		$186.21	$204.17	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $218.78	Professional		$138.04	$162.18	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $190.55 / $251.19	Facility		$151.36	$190.55	$251.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $208.93 / $309.03	Facility		$199.53	$208.93	$309.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $309.03	Professional		$199.53	$208.93	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $257.04	Facility		$194.98	$194.98	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $218.78	Professional		$162.18	$208.93	$218.78