Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.26 / $168.23 / $168.23	Facility		$139.26	$168.23	$168.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.07 / $168.23 / $175.78	Professional		$135.07	$168.23	$175.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.25 / $340.25 / $361.35	Facility		$340.25	$340.25	$361.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $177.26 / $229.36	Professional		$177.26	$177.26	$229.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $189.96 / $189.96 / $232.60	Professional		$189.96	$189.96	$232.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $181.86 / $181.86	Facility		$181.86	$181.86	$181.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $132.76 / $181.86	Professional		$132.76	$132.76	$181.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.18 / $306.23 / $408.30	Professional		$238.18	$306.23	$408.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.74 / $205.49 / $380.20	Facility		$93.74	$205.49	$380.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $205.49 / $425.31 / $566.76	Professional		$205.49	$425.31	$566.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $186.42 / $256.79 / $425.31	Facility		$186.42	$256.79	$425.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $186.42 / $256.79 / $425.31	Professional		$186.42	$256.79	$425.31
United Facility/Professional Facility Modifier Low / Median / High Price $109.36 / $143.90 / $189.98	Facility		$109.36	$143.90	$189.98
United Facility/Professional Professional Modifier Low / Median / High Price $131.84 / $169.75 / $255.04	Professional		$131.84	$169.75	$255.04