Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.39 / $187.39 / $187.39	Facility		$187.39	$187.39	$187.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.13 / $187.39 / $256.62	Professional		$137.13	$187.39	$256.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $311.52 / $311.52 / $311.52	Facility		$311.52	$311.52	$311.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.24 / $247.24 / $247.24	Professional		$247.24	$247.24	$247.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $271.51 / $271.51 / $271.51	Professional		$271.51	$271.51	$271.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $204.05 / $273.70	Facility		$204.05	$204.05	$273.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $173.44 / $244.85	Professional		$173.44	$173.44	$244.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.56 / $259.87 / $343.60	Professional		$216.56	$259.87	$343.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $133.15 / $187.39 / $419.17	Facility		$133.15	$187.39	$419.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $371.70 / $371.70 / $371.70	Professional		$371.70	$371.70	$371.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $174.90 / $382.32	Facility		$21.23	$174.90	$382.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $139.41 / $365.12	Professional		$20.66	$139.41	$365.12
United Facility/Professional Facility Modifier Low / Median / High Price $15.57 / $138.94 / $201.94	Facility		$15.57	$138.94	$201.94
United Facility/Professional Professional Modifier Low / Median / High Price $158.15 / $186.20 / $285.43	Professional		$158.15	$186.20	$285.43