Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $164.42 / $292.66	Facility		$164.42	$164.42	$292.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $164.42 / $180.86	Professional		$164.42	$164.42	$180.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $346.93 / $559.03	Facility		$164.42	$346.93	$559.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.53 / $190.53 / $190.53	Professional		$190.53	$190.53	$190.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $216.34 / $246.18 / $371.51	Professional		$216.34	$246.18	$371.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.62 / $219.62 / $219.62	Facility		$219.62	$219.62	$219.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.80 / $219.62 / $219.62	Professional		$186.80	$219.62	$219.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.76 / $197.30 / $235.16	Professional		$139.76	$197.30	$235.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $164.42 / $241.01	Facility		$164.42	$164.42	$241.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $200.00 / $200.00	Professional		$141.00	$200.00	$200.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $210.14 / $214.56 / $288.64	Facility		$210.14	$214.56	$288.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $210.14 / $214.56 / $288.64	Professional		$210.14	$214.56	$288.64
United Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $197.30 / $235.16	Professional		$164.42	$197.30	$235.16