Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.65 / $385.16 / $30,830.80	Facility		$192.65	$385.16	$30,830.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $185.31 / $221.93	Professional		$183.48	$185.31	$221.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.48 / $379.80 / $599.98	Facility		$183.48	$379.80	$599.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $245.93	Professional		$183.48	$183.48	$245.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $183.41 / $183.48	Professional		$183.41	$183.41	$183.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $173.09 / $183.48	Facility		$173.09	$173.09	$183.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $183.48	Professional		$183.48	$183.48	$183.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.96 / $183.48 / $220.18	Professional		$155.96	$183.48	$220.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.17 / $188.98 / $293.57	Facility		$125.17	$188.98	$293.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $164.67 / $243.00 / $341.00	Professional		$164.67	$243.00	$341.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $183.48 / $211.00 / $275.22	Facility		$183.48	$211.00	$275.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $211.00 / $275.22	Professional		$183.48	$211.00	$275.22
United Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $194.49 / $216.51	Professional		$183.48	$194.49	$216.51