Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $140.75 / $1,463.73	Facility		$140.75	$140.75	$1,463.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $140.75 / $154.82	Professional		$140.75	$140.75	$154.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $296.98 / $478.55	Facility		$140.75	$296.98	$478.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.37 / $147.37 / $147.37	Professional		$147.37	$147.37	$147.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $192.53 / $219.09 / $330.62	Professional		$192.53	$219.09	$330.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.82 / $161.82 / $161.82	Facility		$161.82	$161.82	$161.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $161.82 / $186.80	Professional		$161.82	$161.82	$186.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.64 / $168.90 / $204.92	Professional		$119.64	$168.90	$204.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.91 / $140.75 / $241.01	Facility		$108.91	$140.75	$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 $154.84 / $164.43 / $212.67	Facility		$154.84	$164.43	$212.67
Sentara Facility/Professional Professional Modifier Low / Median / High Price $154.84 / $164.43 / $212.67	Professional		$154.84	$164.43	$212.67
United Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $173.08 / $181.73	Professional		$144.47	$173.08	$181.73