Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.50 / $194.50 / $225.78	Facility		$194.50	$194.50	$225.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.74 / $194.50 / $225.78	Professional		$147.74	$194.50	$225.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $375.00 / $503.55	Professional		$375.00	$375.00	$503.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $213.44 / $213.44 / $213.44	Professional		$213.44	$213.44	$213.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.34 / $189.34 / $306.08	Facility		$189.34	$189.34	$306.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $160.94	Professional		$160.94	$160.94	$160.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.32 / $316.55 / $411.52	Professional		$261.32	$316.55	$411.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.50 / $253.07 / $381.57	Facility		$194.50	$253.07	$381.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $357.88 / $453.83 / $645.41	Professional		$357.88	$453.83	$645.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $182.92 / $240.98 / $350.87	Facility		$182.92	$240.98	$350.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $182.92 / $240.98 / $368.70	Professional		$182.92	$240.98	$368.70
United Facility/Professional Professional Modifier Low / Median / High Price $144.59 / $144.59 / $240.98	Professional		$144.59	$144.59	$240.98