Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $178.66 / $468.00	Facility		$134.00	$178.66	$468.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $192.17 / $319.82	Professional		$143.63	$192.17	$319.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $144.91 / $201.30	Professional		$0.02	$144.91	$201.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $115.53 / $115.53 / $227.21	Professional		$115.53	$115.53	$227.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.39 / $240.39 / $240.39	Facility		$240.39	$240.39	$240.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.62 / $254.65 / $434.83	Professional		$180.62	$254.65	$434.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.43 / $246.65 / $373.84	Professional		$191.43	$246.65	$373.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $178.66 / $250.37 / $370.14	Facility		$178.66	$250.37	$370.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $266.05 / $307.30 / $422.54	Professional		$266.05	$307.30	$422.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $186.81 / $247.89 / $399.59	Facility		$186.81	$247.89	$399.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $219.29 / $291.89 / $468.46	Professional		$219.29	$291.89	$468.46
United Facility/Professional Professional Modifier Low / Median / High Price $168.91 / $252.74 / $410.92	Professional		$168.91	$252.74	$410.92