Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $144.75 / $287.83	Facility		$127.45	$144.75	$287.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $128.72 / $133.83	Professional		$127.45	$128.72	$133.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $268.92 / $433.33	Facility		$127.45	$268.92	$433.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $182.69 / $207.88 / $313.72	Professional		$182.69	$207.88	$313.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $120.24 / $127.45	Facility		$120.24	$120.24	$127.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.33 / $152.94 / $215.54	Professional		$108.33	$152.94	$215.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $127.45 / $546.86	Facility		$127.45	$127.45	$546.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $121.08 / $154.21 / $191.83	Facility		$121.08	$154.21	$191.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $121.08 / $154.21 / $191.83	Professional		$121.08	$154.21	$191.83
United Facility/Professional Professional Modifier Low / Median / High Price $123.63 / $127.45 / $159.94	Professional		$123.63	$127.45	$159.94