Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $192.78 / $467.40	Facility		$164.59	$192.78	$467.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $172.82 / $279.80	Professional		$164.59	$172.82	$279.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $347.28 / $559.61	Facility		$164.59	$347.28	$559.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $164.59	Professional		$164.59	$164.59	$164.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $230.12 / $261.86 / $395.16	Professional		$230.12	$261.86	$395.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.27 / $155.27 / $164.59	Facility		$155.27	$155.27	$164.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $164.59	Professional		$164.59	$164.59	$164.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.90 / $197.51 / $233.73	Professional		$139.90	$197.51	$233.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $164.59 / $302.79	Facility		$164.59	$164.59	$302.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $156.36 / $187.34 / $222.19	Facility		$156.36	$187.34	$222.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $156.36 / $187.34 / $222.19	Professional		$156.36	$187.34	$222.19
United Facility/Professional Professional Modifier Low / Median / High Price $161.93 / $164.59 / $206.56	Professional		$161.93	$164.59	$206.56