Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.76 / $445.62 / $14,505.60	Facility		$213.76	$445.62	$14,505.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $213.76 / $226.18	Professional		$203.58	$213.76	$226.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $429.55 / $692.17	Facility		$203.58	$429.55	$692.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $203.58	Professional		$203.58	$203.58	$203.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $294.77 / $335.43 / $506.19	Professional		$294.77	$335.43	$506.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.06 / $192.06 / $203.58	Facility		$192.06	$192.06	$203.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $203.58	Professional		$203.58	$203.58	$203.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.04 / $244.30 / $319.92	Professional		$173.04	$244.30	$319.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $168.20 / $203.58 / $371.21	Facility		$168.20	$203.58	$371.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $155.00 / $155.00	Professional		$155.00	$155.00	$155.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $191.69 / $203.41 / $260.58	Facility		$191.69	$203.41	$260.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $191.69 / $203.41 / $260.58	Professional		$191.69	$203.41	$260.58
United Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $215.79 / $264.64	Professional		$203.58	$215.79	$264.64