Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $407.38 / $549.54	Facility		$194.98	$407.38	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $239.88	Professional		$194.98	$194.98	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $380.19 / $660.69	Facility		$194.98	$380.19	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $323.59	Professional		$194.98	$194.98	$323.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $295.12	Professional		$194.98	$194.98	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $194.98 / $194.98	Facility		$186.21	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $263.03	Professional		$165.96	$194.98	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $208.93 / $331.13	Facility		$194.98	$208.93	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $194.98 / $194.98	Professional		$186.21	$194.98	$194.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $208.93 / $288.40	Facility		$186.21	$208.93	$288.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $288.40	Professional		$186.21	$208.93	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $194.98 / $309.03	Facility		$190.55	$194.98	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $218.78	Professional		$194.98	$208.93	$218.78