Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.92 / $191.92 / $470.20	Facility		$191.92	$191.92	$470.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.91 / $191.92 / $211.11	Professional		$191.91	$191.92	$211.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.92 / $404.95 / $652.53	Facility		$191.92	$404.95	$652.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.72 / $171.72 / $171.72	Professional		$171.72	$171.72	$171.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $202.72 / $230.69 / $348.13	Professional		$202.72	$230.69	$348.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Facility		$188.55	$188.55	$188.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Professional		$188.55	$188.55	$188.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $202.02 / $230.30	Professional		$163.13	$202.02	$230.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $170.04 / $170.04 / $292.29	Facility		$170.04	$170.04	$292.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $111.18 / $184.21 / $247.81	Facility		$111.18	$184.21	$247.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $111.18 / $184.21 / $247.81	Professional		$111.18	$184.21	$247.81
United Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $202.02 / $212.12	Professional		$168.35	$202.02	$212.12