Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $248.91 / $494.97	Facility		$217.09	$248.91	$494.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $262.68	Professional		$217.09	$217.09	$262.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $449.38 / $709.88	Facility		$217.09	$449.38	$709.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $290.98	Professional		$217.09	$217.09	$290.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $217.09	Professional		$217.09	$217.09	$217.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.80 / $204.80 / $217.09	Facility		$204.80	$204.80	$217.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $217.09	Professional		$217.09	$217.09	$217.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.53 / $217.09 / $260.51	Professional		$184.53	$217.09	$260.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.32 / $227.94 / $347.34	Facility		$176.32	$227.94	$347.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $218.75 / $311.00 / $501.43	Professional		$218.75	$311.00	$501.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $245.76 / $325.64	Facility		$217.09	$245.76	$325.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $245.76 / $325.64	Professional		$217.09	$245.76	$325.64
United Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $230.12 / $244.20	Professional		$217.09	$230.12	$244.20