Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $208.93 / $380.19	Facility		$123.03	$208.93	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $316.23	Professional		$123.03	$208.93	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $323.59	Facility		$302.00	$302.00	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $562.34	Professional		$269.15	$269.15	$562.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $281.84 / $281.84	Professional		$251.19	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $309.03 / $309.03	Facility		$199.53	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $309.03	Professional		$229.09	$229.09	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $467.74	Professional		$199.53	$263.03	$467.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $257.04 / $446.68	Facility		$123.03	$257.04	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $263.03 / $380.19	Professional		$234.42	$263.03	$380.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $331.13 / $562.34	Facility		$218.78	$331.13	$562.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $331.13 / $562.34	Professional		$218.78	$331.13	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $208.93 / $616.60	Facility		$147.91	$208.93	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $213.80 / $346.74	Professional		$199.53	$213.80	$346.74