Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $161.02 / $320.18	Facility		$140.99	$161.02	$320.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $148.04 / $148.04	Professional		$140.99	$148.04	$148.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $297.49 / $479.37	Facility		$140.99	$297.49	$479.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $140.99	Professional		$140.99	$140.99	$140.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $191.52 / $217.93 / $328.88	Professional		$191.52	$217.93	$328.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.01 / $133.01 / $140.99	Facility		$133.01	$133.01	$140.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $140.99	Professional		$140.99	$140.99	$140.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.84 / $169.19 / $184.42	Professional		$119.84	$169.19	$184.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $140.99 / $225.46	Facility		$140.99	$140.99	$225.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $133.94 / $146.54 / $180.47	Facility		$133.94	$146.54	$180.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $146.54 / $180.47	Professional		$133.94	$146.54	$180.47
United Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $149.44 / $183.29	Professional		$140.99	$149.44	$183.29