Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.79 / $201.66 / $201.66	Facility		$113.79	$201.66	$201.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.79 / $201.66 / $201.66	Professional		$113.79	$201.66	$201.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.27 / $262.27 / $278.54	Facility		$262.27	$262.27	$278.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.42 / $239.42 / $299.29	Professional		$239.42	$239.42	$299.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.42 / $256.85 / $256.85	Professional		$223.42	$256.85	$256.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $278.10 / $278.10	Facility		$278.10	$278.10	$278.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $203.01 / $278.10	Professional		$203.01	$203.01	$278.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.09 / $230.13 / $368.58	Professional		$161.09	$230.13	$368.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.12 / $223.45 / $380.31	Facility		$84.12	$223.45	$380.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.83 / $380.00 / $504.05	Professional		$316.83	$380.00	$504.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $212.28 / $319.22 / $412.03	Facility		$212.28	$319.22	$412.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $212.28 / $319.22 / $412.03	Professional		$212.28	$319.22	$412.03
United Facility/Professional Professional Modifier Low / Median / High Price $175.30 / $203.47 / $319.22	Professional		$175.30	$203.47	$319.22