Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.76 / $142.27 / $142.27	Facility		$117.76	$142.27	$142.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.76 / $142.27 / $206.06	Professional		$117.76	$142.27	$206.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.73 / $287.73 / $305.57	Facility		$287.73	$287.73	$305.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.24 / $175.24 / $227.68	Professional		$175.24	$175.24	$227.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $154.00 / $196.69	Professional		$154.00	$154.00	$196.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $225.30 / $225.30	Facility		$225.30	$225.30	$225.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $164.47 / $225.30	Professional		$164.47	$164.47	$225.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.41 / $258.95 / $345.28	Professional		$201.41	$258.95	$345.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.67 / $176.96 / $327.54	Facility		$92.67	$176.96	$327.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $359.66 / $479.27	Professional		$174.00	$359.66	$479.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $157.63 / $217.14 / $359.66	Facility		$157.63	$217.14	$359.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $217.14 / $359.66	Professional		$157.63	$217.14	$359.66
United Facility/Professional Facility Modifier Low / Median / High Price $383.64 / $383.64 / $460.37	Facility		$383.64	$383.64	$460.37
United Facility/Professional Professional Modifier Low / Median / High Price $129.74 / $143.54 / $216.23	Professional		$129.74	$143.54	$216.23