Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.26 / $139.24 / $139.24	Facility		$115.26	$139.24	$139.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.26 / $139.24 / $154.11	Professional		$115.26	$139.24	$154.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.61 / $281.61 / $299.07	Facility		$281.61	$281.61	$299.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $150.94 / $192.86	Professional		$150.94	$150.94	$192.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $151.00 / $192.51	Professional		$151.00	$151.00	$192.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.61 / $185.61 / $185.61	Facility		$185.61	$185.61	$185.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $135.50 / $185.61	Professional		$135.50	$135.50	$185.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.13 / $253.45 / $337.93	Professional		$197.13	$253.45	$337.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.38 / $173.18 / $320.57	Facility		$80.38	$173.18	$320.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $352.01 / $469.07	Professional		$140.00	$352.01	$469.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $154.27 / $212.52 / $352.01	Facility		$154.27	$212.52	$352.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $154.27 / $212.52 / $352.01	Professional		$154.27	$212.52	$352.01
United Facility/Professional Facility Modifier Low / Median / High Price $195.26 / $195.26 / $195.26	Facility		$195.26	$195.26	$195.26
United Facility/Professional Professional Modifier Low / Median / High Price $113.06 / $140.49 / $211.62	Professional		$113.06	$140.49	$211.62