Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $214.84 / $468.04	Facility		$204.61	$214.84	$468.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $214.84 / $227.32	Professional		$204.61	$214.84	$227.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $431.73 / $695.67	Facility		$204.61	$431.73	$695.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $204.61	Professional		$204.61	$204.61	$204.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $205.24 / $281.18 / $480.92	Professional		$205.24	$281.18	$480.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.03 / $193.03 / $204.61	Facility		$193.03	$193.03	$204.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $204.61	Professional		$204.61	$204.61	$204.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.46 / $200.12 / $235.44	Professional		$153.46	$200.12	$235.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $203.22 / $214.84 / $242.77	Facility		$203.22	$214.84	$242.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $195.98 / $214.84 / $282.44	Professional		$195.98	$214.84	$282.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $190.68 / $204.61 / $261.89	Facility		$190.68	$204.61	$261.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $190.68 / $204.61 / $261.89	Professional		$190.68	$204.61	$261.89
United Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $204.61 / $217.07	Professional		$81.84	$204.61	$217.07