Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.83 / $361.06 / $6,047.21	Facility		$180.83	$361.06	$6,047.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $180.83 / $180.83	Professional		$172.22	$180.83	$180.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $363.38 / $585.54	Facility		$172.22	$363.38	$585.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $172.22	Professional		$172.22	$172.22	$172.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $215.40 / $245.11 / $369.89	Professional		$215.40	$245.11	$369.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.47 / $162.47 / $172.22	Facility		$162.47	$162.47	$172.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $172.22	Professional		$172.22	$172.22	$172.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.38 / $206.66 / $265.51	Professional		$146.38	$206.66	$265.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $172.22 / $218.93	Facility		$172.22	$172.22	$218.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $160.49 / $172.22 / $220.44	Facility		$160.49	$172.22	$220.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $160.49 / $172.22 / $220.44	Professional		$160.49	$172.22	$220.44
United Facility/Professional Professional Modifier Low / Median / High Price $169.44 / $172.22 / $216.14	Professional		$169.44	$172.22	$216.14