Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.50 / $243.27 / $308.97	Facility		$143.50	$243.27	$308.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $138.03 / $164.84	Professional		$136.66	$138.03	$164.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $282.91 / $446.91	Facility		$136.66	$282.91	$446.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $183.19	Professional		$136.66	$136.66	$183.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $136.22 / $136.66	Professional		$136.22	$136.22	$136.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $128.93 / $136.66	Facility		$128.93	$128.93	$136.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $136.66	Professional		$136.66	$136.66	$136.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.17 / $136.66 / $164.00	Professional		$116.17	$136.66	$164.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.24 / $143.50 / $218.67	Facility		$105.24	$143.50	$218.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.29 / $177.17 / $298.30	Professional		$124.29	$177.17	$298.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $157.16 / $205.01	Facility		$136.66	$157.16	$205.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $157.16 / $205.01	Professional		$136.66	$157.16	$205.01
United Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $144.87 / $153.72	Professional		$136.66	$144.87	$153.72