Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.66 / $171.13 / $171.13	Facility		$141.66	$171.13	$171.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $171.13 / $202.51	Professional		$141.66	$171.13	$202.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.12 / $346.12 / $367.58	Facility		$346.12	$346.12	$367.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.35 / $198.35 / $247.95	Professional		$198.35	$198.35	$247.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $210.55 / $210.55 / $236.61	Professional		$210.55	$210.55	$236.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $197.94 / $197.94	Facility		$197.94	$197.94	$197.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $144.50 / $197.94	Professional		$144.50	$144.50	$197.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.28 / $311.51 / $415.34	Professional		$242.28	$311.51	$415.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.03 / $212.86 / $388.33	Facility		$102.03	$212.86	$388.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $432.65 / $576.52	Professional		$214.00	$432.65	$576.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $189.62 / $261.98 / $433.39	Facility		$189.62	$261.98	$433.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $189.62 / $261.98 / $433.39	Professional		$189.62	$261.98	$433.39
United Facility/Professional Professional Modifier Low / Median / High Price $146.12 / $172.67 / $259.43	Professional		$146.12	$172.67	$259.43