Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.57 / $433.00 / $924.67	Facility		$191.57	$433.00	$924.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $191.57 / $202.69	Professional		$182.45	$191.57	$202.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $384.97 / $620.33	Facility		$182.45	$384.97	$620.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $259.17 / $294.92 / $445.06	Professional		$259.17	$294.92	$445.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.12 / $172.12 / $182.45	Facility		$172.12	$172.12	$182.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.08 / $218.94 / $335.94	Professional		$155.08	$218.94	$335.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.33 / $294.00 / $358.09	Facility		$101.33	$294.00	$358.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $136.00 / $136.00	Professional		$136.00	$136.00	$136.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $173.33 / $195.62 / $269.14	Facility		$173.33	$195.62	$269.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $173.33 / $195.62 / $269.14	Professional		$173.33	$195.62	$269.14
United Facility/Professional Professional Modifier Low / Median / High Price $179.50 / $182.45 / $228.97	Professional		$179.50	$182.45	$228.97