Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $316.05 / $743.36	Facility		$177.56	$316.05	$743.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $177.56 / $301.85	Professional		$177.56	$177.56	$301.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.55 / $374.63 / $603.66	Facility		$177.55	$374.63	$603.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.87 / $158.87 / $158.87	Professional		$158.87	$158.87	$158.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $230.22 / $261.97 / $395.34	Professional		$230.22	$261.97	$395.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Facility		$174.44	$174.44	$174.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Professional		$174.44	$174.44	$174.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.93 / $213.07 / $373.80	Professional		$150.93	$213.07	$373.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $177.56 / $235.59	Facility		$177.56	$177.56	$235.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $166.91 / $177.56 / $229.26	Facility		$166.91	$177.56	$229.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $166.91 / $177.56 / $229.26	Professional		$166.91	$177.56	$229.26
United Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $186.90 / $186.90	Professional		$155.75	$186.90	$186.90