Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.57 / $207.26 / $207.26	Facility		$171.57	$207.26	$207.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.57 / $207.26 / $230.69	Professional		$171.57	$207.26	$230.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $419.18 / $419.18 / $445.17	Facility		$419.18	$419.18	$445.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.68 / $233.68 / $298.52	Professional		$233.68	$233.68	$298.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $234.02 / $234.02 / $286.55	Professional		$234.02	$234.02	$286.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.01 / $252.01 / $252.01	Facility		$252.01	$252.01	$252.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $183.97 / $252.01	Professional		$183.97	$183.97	$252.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.43 / $377.26 / $503.02	Professional		$293.43	$377.26	$503.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.57 / $245.35 / $468.39	Facility		$123.57	$245.35	$468.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $523.98 / $698.23	Professional		$242.00	$523.98	$698.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $229.66 / $317.30 / $524.90	Facility		$229.66	$317.30	$524.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $229.66 / $317.30 / $524.90	Professional		$229.66	$317.30	$524.90
United Facility/Professional Professional Modifier Low / Median / High Price $176.98 / $209.13 / $315.02	Professional		$176.98	$209.13	$315.02