Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $263.03	Professional		$162.18	$186.21	$263.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $309.03	Professional		$245.47	$245.47	$309.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $275.42	Facility		$204.17	$204.17	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $275.42	Professional		$173.78	$204.17	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $251.19 / $354.81	Professional		$223.87	$251.19	$354.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $186.21 / $426.58	Facility		$131.83	$186.21	$426.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $194.98 / $380.19	Facility		$20.89	$194.98	$380.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $173.78 / $354.81	Professional		$20.89	$173.78	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $138.04 / $204.17	Facility		$16.22	$138.04	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $295.12	Professional		$158.49	$186.21	$295.12