Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.72 / $352.13 / $448.27	Facility		$207.72	$352.13	$448.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $217.62	Professional		$197.83	$197.83	$217.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $409.51 / $646.90	Facility		$197.83	$409.51	$646.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $265.17	Professional		$197.83	$197.83	$265.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $197.65 / $197.65 / $197.83	Professional		$197.65	$197.65	$197.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.63 / $186.63 / $197.83	Facility		$186.63	$186.63	$197.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $197.83	Professional		$197.83	$197.83	$197.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.16 / $197.83 / $237.40	Professional		$168.16	$197.83	$237.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.93 / $207.72 / $316.52	Facility		$161.93	$207.72	$316.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $198.42 / $281.00 / $449.16	Professional		$198.42	$281.00	$449.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $226.79 / $296.75	Facility		$197.83	$226.79	$296.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $226.79 / $296.75	Professional		$197.83	$226.79	$296.75
United Facility/Professional Facility Modifier Low / Median / High Price $194.08 / $320.23 / $514.30	Facility		$194.08	$320.23	$514.30
United Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $209.70 / $231.33	Professional		$197.83	$209.70	$231.33