Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.27 / $592.29 / $6,629.67	Facility		$185.27	$592.29	$6,629.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $185.27 / $522.87	Professional		$176.45	$185.27	$522.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $365.25 / $576.99	Facility		$176.45	$365.25	$576.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $254.70	Professional		$176.45	$176.45	$254.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $155.41 / $176.45	Professional		$155.41	$155.41	$176.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.46 / $166.46 / $176.45	Facility		$166.46	$166.46	$176.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $176.45	Professional		$176.45	$176.45	$176.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $176.45 / $1,373.47	Professional		$149.97	$176.45	$1,373.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $282.32 / $514.92	Facility		$176.45	$282.32	$514.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $214.97 / $301.32 / $562.00	Professional		$214.97	$301.32	$562.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $213.50 / $514.92	Facility		$176.45	$213.50	$514.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $213.50 / $514.92	Professional		$176.45	$213.50	$514.92
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $187.04 / $208.22	Professional		$176.45	$187.04	$208.22