Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.05 / $169.69 / $468.00	Facility		$139.05	$169.69	$468.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.05 / $181.34 / $318.77	Professional		$139.05	$181.34	$318.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.40 / $214.39 / $334.00	Professional		$160.40	$214.39	$334.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.54 / $171.09 / $333.63	Professional		$162.54	$171.09	$333.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.63 / $197.63 / $197.63	Facility		$197.63	$197.63	$197.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $237.76 / $502.62	Professional		$160.63	$237.76	$502.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.07 / $218.77 / $662.67	Professional		$147.07	$218.77	$662.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.41 / $233.09 / $327.95	Facility		$173.41	$233.09	$327.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $226.00 / $272.00 / $383.00	Professional		$226.00	$272.00	$383.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $171.85 / $235.28 / $475.40	Facility		$171.85	$235.28	$475.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $171.85 / $235.28 / $475.40	Professional		$171.85	$235.28	$475.40
United Facility/Professional Professional Modifier Low / Median / High Price $137.69 / $213.95 / $407.91	Professional		$137.69	$213.95	$407.91