Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.10 / $166.74 / $166.74	Facility		$94.10	$166.74	$166.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.10 / $166.74 / $166.74	Professional		$94.10	$166.74	$166.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.91 / $216.91 / $230.36	Facility		$216.91	$216.91	$230.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.20 / $193.20 / $241.51	Professional		$193.20	$193.20	$241.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $184.78 / $212.40 / $212.40	Professional		$184.78	$212.40	$212.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.82 / $211.82 / $211.82	Facility		$211.82	$211.82	$211.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $154.63 / $211.82	Professional		$154.63	$154.63	$211.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.22 / $190.32 / $304.77	Professional		$133.22	$190.32	$304.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $184.75 / $314.52	Facility		$69.56	$184.75	$314.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $262.01 / $315.00 / $416.83	Professional		$262.01	$315.00	$416.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $175.51 / $263.93 / $340.69	Facility		$175.51	$263.93	$340.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $175.51 / $263.93 / $340.69	Professional		$175.51	$263.93	$340.69
United Facility/Professional Professional Modifier Low / Median / High Price $144.97 / $168.24 / $263.93	Professional		$144.97	$168.24	$263.93