Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.26 / $165.81 / $165.81	Facility		$137.26	$165.81	$165.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.26 / $165.81 / $184.78	Professional		$137.26	$165.81	$184.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.36 / $335.36 / $356.15	Facility		$335.36	$335.36	$356.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.63 / $183.63 / $244.50	Professional		$183.63	$183.63	$244.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $214.22 / $214.22 / $229.25	Professional		$214.22	$214.22	$229.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $192.25 / $192.25	Facility		$192.25	$192.25	$192.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $140.34 / $192.25	Professional		$140.34	$140.34	$192.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.75 / $301.82 / $402.43	Professional		$234.75	$301.82	$402.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.04 / $187.37 / $373.07	Facility		$104.04	$187.37	$373.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $259.63 / $419.20 / $558.60	Professional		$259.63	$419.20	$558.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $183.73 / $262.47 / $383.76	Facility		$183.73	$262.47	$383.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $183.73 / $262.47 / $383.76	Professional		$183.73	$262.47	$383.76
United Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $167.30 / $252.02	Professional		$150.29	$167.30	$252.02