Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.07 / $259.64 / $642.76	Facility		$118.07	$259.64	$642.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $118.08 / $304.25	Professional		$112.45	$118.08	$304.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $237.27 / $382.33	Facility		$112.45	$237.27	$382.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Professional		$112.45	$112.45	$112.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $166.85 / $189.87 / $286.52	Professional		$166.85	$189.87	$286.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.09 / $106.09 / $112.45	Facility		$106.09	$106.09	$112.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Professional		$112.45	$112.45	$112.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.58 / $134.94 / $432.75	Professional		$95.58	$134.94	$432.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.51 / $260.70 / $369.66	Facility		$88.51	$260.70	$369.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $193.00 / $193.00	Professional		$193.00	$193.00	$193.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $106.83 / $136.06 / $385.15	Facility		$106.83	$136.06	$385.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $136.06 / $385.15	Professional		$106.83	$136.06	$385.15
United Facility/Professional Professional Modifier Low / Median / High Price $110.63 / $112.45 / $141.12	Professional		$110.63	$112.45	$141.12