Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.02 / $233.01 / $919.27	Facility		$153.02	$233.01	$919.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.67 / $153.02 / $191.62	Professional		$102.67	$153.02	$191.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.48 / $309.48 / $328.67	Facility		$309.48	$309.48	$328.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.65 / $186.65 / $238.79	Professional		$186.65	$186.65	$238.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $166.00 / $211.55	Professional		$166.00	$166.00	$211.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $244.45	Facility		$216.42	$216.42	$244.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $157.99 / $230.72	Professional		$157.99	$157.99	$230.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.64 / $278.52 / $371.38	Professional		$216.64	$278.52	$371.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.68 / $190.34 / $352.29	Facility		$99.68	$190.34	$352.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $386.85 / $515.50	Professional		$174.00	$386.85	$515.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $169.55 / $233.57 / $386.85	Facility		$169.55	$233.57	$386.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.55 / $233.57 / $386.85	Professional		$169.55	$233.57	$386.85
United Facility/Professional Facility Modifier Low / Median / High Price $116.29 / $153.02 / $164.30	Facility		$116.29	$153.02	$164.30
United Facility/Professional Professional Modifier Low / Median / High Price $139.55 / $154.40 / $232.58	Professional		$139.55	$154.40	$232.58