Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.77 / $131.77 / $333.14	Facility		$131.77	$131.77	$333.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.41 / $131.77 / $173.35	Professional		$88.41	$131.77	$173.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.51 / $266.51 / $283.02	Facility		$266.51	$266.51	$283.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $166.43	Professional		$125.00	$125.00	$166.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $143.00 / $182.18	Professional		$143.00	$143.00	$182.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.46 / $175.81 / $191.33	Facility		$142.46	$175.81	$191.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $128.34 / $187.43	Professional		$128.34	$128.34	$187.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.56 / $239.86 / $319.81	Professional		$186.56	$239.86	$319.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.84 / $163.91 / $303.37	Facility		$85.84	$163.91	$303.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $333.14 / $443.91	Professional		$150.00	$333.14	$443.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $146.01 / $201.13 / $333.14	Facility		$146.01	$201.13	$333.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $146.01 / $201.13 / $333.14	Professional		$146.01	$201.13	$333.14
United Facility/Professional Professional Modifier Low / Median / High Price $120.17 / $132.96 / $200.28	Professional		$120.17	$132.96	$200.28