Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.03 / $152.03 / $152.03	Facility		$152.03	$152.03	$152.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.74 / $152.03 / $207.28	Professional		$119.74	$152.03	$207.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.95 / $213.95 / $213.95	Facility		$213.95	$213.95	$213.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.74 / $206.74 / $206.74	Professional		$206.74	$206.74	$206.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $170.46 / $170.46 / $170.46	Professional		$170.46	$170.46	$170.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $174.27 / $252.36	Facility		$174.27	$174.27	$252.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $174.27 / $174.27	Professional		$22.19	$174.27	$174.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.59 / $259.91 / $288.79	Professional		$216.59	$259.91	$288.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.38 / $119.74 / $188.56	Facility		$28.38	$119.74	$188.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.10 / $213.10 / $213.10	Professional		$213.10	$213.10	$213.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $29.45 / $221.83	Facility		$16.22	$29.45	$221.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $29.45 / $221.83	Professional		$16.22	$29.45	$221.83
United Facility/Professional Professional Modifier Low / Median / High Price $105.09 / $125.65 / $185.21	Professional		$105.09	$125.65	$185.21