Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.93 / $201.66 / $201.66	Facility		$166.93	$201.66	$201.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.93 / $201.66 / $238.64	Professional		$166.93	$201.66	$238.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.85 / $407.85 / $433.14	Facility		$407.85	$407.85	$433.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.90 / $224.90 / $290.43	Professional		$224.90	$224.90	$290.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $227.69 / $227.69 / $278.80	Professional		$227.69	$227.69	$278.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.26 / $233.26 / $233.26	Facility		$233.26	$233.26	$233.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $170.28 / $233.26	Professional		$170.28	$170.28	$233.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.50 / $367.07 / $489.42	Professional		$285.50	$367.07	$489.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $250.84 / $457.63	Facility		$120.23	$250.84	$457.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $509.81 / $679.35	Professional		$235.00	$509.81	$679.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $223.45 / $308.72 / $510.70	Facility		$223.45	$308.72	$510.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $223.45 / $308.72 / $510.70	Professional		$223.45	$308.72	$510.70
United Facility/Professional Professional Modifier Low / Median / High Price $172.19 / $203.47 / $324.33	Professional		$172.19	$203.47	$324.33