Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.39 / $150.27 / $150.27	Facility		$124.39	$150.27	$150.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $150.27 / $184.64	Professional		$124.39	$150.27	$184.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.93 / $303.93 / $322.77	Facility		$303.93	$303.93	$322.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.10 / $185.10 / $237.79	Professional		$185.10	$185.10	$237.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $163.00 / $207.76	Professional		$163.00	$163.00	$207.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $189.91 / $189.91	Facility		$189.91	$189.91	$189.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $138.63 / $189.91	Professional		$138.63	$138.63	$189.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.75 / $273.54 / $364.72	Professional		$212.75	$273.54	$364.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.89 / $186.92 / $345.97	Facility		$97.89	$186.92	$345.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $379.91 / $506.24	Professional		$192.00	$379.91	$506.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $166.51 / $229.37 / $379.91	Facility		$166.51	$229.37	$379.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $166.51 / $229.37 / $379.91	Professional		$166.51	$229.37	$379.91
United Facility/Professional Professional Modifier Low / Median / High Price $137.04 / $151.62 / $233.53	Professional		$137.04	$151.62	$233.53