Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.69 / $164.69 / $180.08	Facility		$164.69	$164.69	$180.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.35 / $164.69 / $201.69	Professional		$129.35	$164.69	$201.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.47 / $266.47 / $282.99	Facility		$266.47	$266.47	$282.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.26 / $171.26 / $214.09	Professional		$171.26	$171.26	$214.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $148.75 / $148.75 / $182.15	Professional		$148.75	$148.75	$182.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $178.39	Facility		$178.39	$178.39	$178.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $130.22 / $183.74	Professional		$130.22	$130.22	$183.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.85 / $266.47 / $319.76	Professional		$199.85	$266.47	$319.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $175.67 / $304.33	Facility		$77.23	$175.67	$304.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $350.01 / $443.85	Professional		$178.00	$350.01	$443.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $175.67 / $208.55 / $364.31	Facility		$175.67	$208.55	$364.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $175.67 / $208.55 / $364.31	Professional		$175.67	$208.55	$364.31
United Facility/Professional Professional Modifier Low / Median / High Price $119.65 / $132.94 / $204.85	Professional		$119.65	$132.94	$204.85