Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.74 / $125.32 / $125.32	Facility		$103.74	$125.32	$125.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.74 / $125.32 / $139.49	Professional		$103.74	$125.32	$139.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.46 / $253.46 / $269.17	Facility		$253.46	$253.46	$269.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $135.85 / $180.49	Professional		$135.85	$135.85	$180.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.50 / $141.50 / $173.26	Professional		$141.50	$141.50	$173.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $168.00	Facility		$168.00	$168.00	$168.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $122.64	Professional		$122.64	$122.64	$122.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.42 / $228.11 / $304.14	Professional		$177.42	$228.11	$304.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $148.35 / $283.19	Facility		$74.72	$148.35	$283.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $316.83 / $422.19	Professional		$157.00	$316.83	$422.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $138.87 / $191.85 / $317.37	Facility		$138.87	$191.85	$317.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $138.87 / $191.85 / $317.37	Professional		$138.87	$191.85	$317.37
United Facility/Professional Professional Modifier Low / Median / High Price $107.01 / $126.45 / $189.99	Professional		$107.01	$126.45	$189.99