Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.97 / $162.97 / $1,135.48	Facility		$162.97	$162.97	$1,135.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $162.97 / $162.97	Professional		$162.97	$162.97	$162.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.28 / $173.28 / $173.28	Professional		$173.28	$173.28	$173.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $196.42 / $223.51 / $337.30	Professional		$196.42	$223.51	$337.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $153.75 / $203.81	Facility		$153.75	$153.75	$203.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.93 / $203.81 / $203.81	Professional		$185.93	$203.81	$203.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.53 / $195.58 / $218.36	Professional		$138.53	$195.58	$218.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.74 / $185.50 / $253.48	Facility		$152.74	$185.50	$253.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $211.00 / $211.00	Professional		$139.00	$211.00	$211.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $195.02 / $201.40 / $267.87	Facility		$195.02	$201.40	$267.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $195.02 / $201.40 / $267.87	Professional		$195.02	$201.40	$267.87
United Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $208.10 / $218.36	Professional		$162.97	$208.10	$218.36