Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $194.98 / $229.09	Facility		$190.55	$194.98	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $363.08	Professional		$181.97	$213.80	$363.08
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 / $251.19 / $2,951.21	Professional		$194.98	$251.19	$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 $154.88 / $239.88 / $302.00	Professional		$154.88	$239.88	$302.00
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 / $229.09 / $380.19	Facility		$186.21	$229.09	$380.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
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 / $575.44	Professional		$199.53	$281.84	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $426.58	Professional		$169.82	$269.15	$426.58