Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $194.98 / $223.87	Facility		$190.55	$194.98	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $416.87	Professional		$181.97	$213.80	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $489.78	Professional		$194.98	$269.15	$489.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $2,951.21	Professional		$194.98	$239.88	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $436.52	Professional		$199.53	$275.42	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $288.40	Professional		$151.36	$234.42	$288.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $223.87 / $380.19	Facility		$186.21	$223.87	$380.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $275.42 / $562.34	Facility		$194.98	$275.42	$562.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $562.34	Professional		$199.53	$281.84	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $426.58	Professional		$169.82	$269.15	$426.58