Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.68 / $362.36 / $26,766.40	Facility		$181.68	$362.36	$26,766.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $174.76 / $219.75	Professional		$173.03	$174.76	$219.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $358.17 / $565.80	Facility		$173.03	$358.17	$565.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $231.92	Professional		$173.03	$173.03	$231.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $172.55 / $173.03	Professional		$172.55	$172.55	$173.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $163.24 / $173.03	Facility		$163.24	$163.24	$173.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Professional		$173.03	$173.03	$173.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.08 / $173.03 / $217.40	Professional		$147.08	$173.03	$217.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $186.87 / $276.70	Facility		$95.00	$186.87	$276.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $194.00 / $252.00	Professional		$128.00	$194.00	$252.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $206.53 / $259.55	Facility		$173.03	$206.53	$259.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $206.53 / $259.55	Professional		$173.03	$206.53	$259.55
United Facility/Professional Facility Modifier Low / Median / High Price $123.69 / $123.69 / $123.69	Facility		$123.69	$123.69	$123.69
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $183.41 / $204.18	Professional		$173.03	$183.41	$204.18