Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $155.06 / $412.40	Facility		$15.93	$155.06	$412.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.46 / $133.47 / $261.60	Professional		$133.46	$133.47	$261.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.47 / $281.62 / $453.80	Facility		$133.47	$281.62	$453.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.12 / $120.12 / $120.12	Professional		$120.12	$120.12	$120.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $182.58 / $207.77 / $313.54	Professional		$182.58	$207.77	$313.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.13 / $131.13 / $131.13	Facility		$131.13	$131.13	$131.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $131.13 / $131.13	Professional		$25.14	$131.13	$131.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $140.50 / $160.16	Professional		$113.45	$140.50	$160.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.65 / $133.47 / $205.24	Facility		$31.65	$133.47	$205.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $85.00	Professional		$54.00	$54.00	$85.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $125.47 / $133.47 / $172.34	Facility		$125.47	$133.47	$172.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $125.47 / $133.47 / $172.34	Professional		$125.47	$133.47	$172.34
United Facility/Professional Professional Modifier Low / Median / High Price $117.08 / $140.50 / $149.50	Professional		$117.08	$140.50	$149.50