Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.16 / $164.49 / $164.49	Facility		$136.16	$164.49	$164.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.16 / $164.49 / $183.06	Professional		$136.16	$164.49	$183.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.68 / $332.68 / $353.31	Facility		$332.68	$332.68	$353.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.44 / $185.44 / $236.89	Professional		$185.44	$185.44	$236.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $291.31 / $291.31 / $291.31	Professional		$291.31	$291.31	$291.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.96 / $227.96 / $227.96	Facility		$227.96	$227.96	$227.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $227.96	Professional		$166.41	$166.41	$227.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.88 / $299.41 / $399.22	Professional		$232.88	$299.41	$399.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.06 / $204.60 / $378.70	Facility		$98.06	$204.60	$378.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $415.85 / $554.14	Professional		$192.00	$415.85	$554.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $182.27 / $260.38 / $575.29	Facility		$182.27	$260.38	$575.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $182.27 / $260.38 / $575.29	Professional		$182.27	$260.38	$575.29
United Facility/Professional Professional Modifier Low / Median / High Price $137.91 / $165.97 / $255.62	Professional		$137.91	$165.97	$255.62