Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $145.40 / $145.40	Facility		$120.36	$145.40	$145.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $145.40 / $159.59	Professional		$120.36	$145.40	$159.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.07 / $294.07 / $312.30	Facility		$294.07	$294.07	$312.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.80 / $157.80 / $203.91	Professional		$157.80	$157.80	$203.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $158.00 / $201.03	Professional		$158.00	$158.00	$201.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $190.78 / $190.78	Facility		$190.78	$190.78	$190.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $139.27 / $190.78	Professional		$139.27	$139.27	$190.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.85 / $264.66 / $352.88	Professional		$205.85	$264.66	$352.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.01 / $180.85 / $328.55	Facility		$84.01	$180.85	$328.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $367.59 / $489.83	Professional		$155.00	$367.59	$489.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $161.11 / $221.92 / $367.59	Facility		$161.11	$221.92	$367.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $161.11 / $221.92 / $367.59	Professional		$161.11	$221.92	$367.59
United Facility/Professional Professional Modifier Low / Median / High Price $118.16 / $146.71 / $220.98	Professional		$118.16	$146.71	$220.98