Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $354.81 / $467.74	Facility		$169.82	$354.81	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $186.21	Professional		$169.82	$169.82	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $338.84 / $575.44	Facility		$169.82	$338.84	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $281.84	Professional		$169.82	$169.82	$281.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $251.19 / $380.19	Professional		$223.87	$251.19	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $169.82 / $169.82	Facility		$158.49	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $204.17	Professional		$144.54	$169.82	$204.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $186.21	Facility		$169.82	$169.82	$186.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $165.96 / $245.47	Facility		$158.49	$165.96	$245.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $165.96 / $245.47	Professional		$158.49	$165.96	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $169.82 / $269.15	Facility		$162.18	$169.82	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $194.98	Professional		$162.18	$169.82	$194.98