Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.47 / $187.14 / $370.16	Facility		$172.47	$187.14	$370.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $165.90 / $202.72	Professional		$164.25	$165.90	$202.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $340.00 / $537.10	Facility		$164.25	$340.00	$537.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $220.16	Professional		$164.25	$164.25	$220.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $163.21 / $164.26	Professional		$163.21	$163.21	$164.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.96 / $154.96 / $164.25	Facility		$154.96	$154.96	$164.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $164.25	Professional		$164.25	$164.25	$164.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.61 / $164.25 / $197.10	Professional		$139.61	$164.25	$197.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.62 / $170.82 / $262.67	Facility		$108.62	$170.82	$262.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.57 / $187.16 / $349.37	Professional		$145.57	$187.16	$349.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $188.89 / $246.38	Facility		$164.25	$188.89	$246.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $188.89 / $246.38	Professional		$164.25	$188.89	$246.38
United Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $174.11 / $185.68	Professional		$164.25	$174.11	$185.68