Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.19 / $194.74 / $194.74	Facility		$161.19	$194.74	$194.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $194.74 / $265.85	Professional		$161.19	$194.74	$265.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $393.85 / $393.85 / $418.27	Facility		$393.85	$393.85	$418.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $312.17	Professional		$239.88	$239.88	$312.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $211.00 / $211.00 / $269.23	Professional		$211.00	$211.00	$269.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.11 / $246.11 / $246.11	Facility		$246.11	$246.11	$246.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $179.66 / $246.11	Professional		$179.66	$179.66	$246.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.70 / $354.47 / $472.62	Professional		$275.70	$354.47	$472.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $126.85 / $242.22 / $441.91	Facility		$126.85	$242.22	$441.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $492.31 / $656.04	Professional		$221.00	$492.31	$656.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $215.78 / $297.25 / $492.31	Facility		$215.78	$297.25	$492.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $215.78 / $297.25 / $492.31	Professional		$215.78	$297.25	$492.31
United Facility/Professional Professional Modifier Low / Median / High Price $177.59 / $196.49 / $302.77	Professional		$177.59	$196.49	$302.77