Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.28 / $369.22 / $1,472.62	Facility		$190.28	$369.22	$1,472.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.21 / $190.28 / $201.33	Professional		$181.21	$190.28	$201.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.22 / $382.37 / $616.15	Facility		$181.22	$382.37	$616.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $181.22	Professional		$181.22	$181.22	$181.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $242.92 / $276.42 / $417.15	Professional		$242.92	$276.42	$417.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $181.22	Facility		$170.96	$170.96	$181.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $181.22	Professional		$181.22	$181.22	$181.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.04 / $217.46 / $255.87	Professional		$154.04	$217.46	$255.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.21 / $181.22 / $304.61	Facility		$89.21	$181.22	$304.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $207.00 / $207.00	Professional		$207.00	$207.00	$207.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $62.75 / $172.16 / $231.96	Facility		$62.75	$172.16	$231.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $172.16 / $231.96	Professional		$62.75	$172.16	$231.96
United Facility/Professional Professional Modifier Low / Median / High Price $175.78 / $181.22 / $227.43	Professional		$175.78	$181.22	$227.43