Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.85 / $200.35 / $200.35	Facility		$165.85	$200.35	$200.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.85 / $200.35 / $243.38	Professional		$165.85	$200.35	$243.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.22 / $405.22 / $430.34	Facility		$405.22	$405.22	$430.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.42 / $246.42 / $315.75	Professional		$246.42	$246.42	$315.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $217.00 / $277.00	Professional		$217.00	$217.00	$277.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.60 / $253.20 / $253.20	Facility		$216.60	$253.20	$253.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $184.84 / $253.20	Professional		$184.84	$184.84	$253.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.64 / $364.70 / $486.26	Professional		$283.64	$364.70	$486.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.51 / $249.22 / $461.27	Facility		$130.51	$249.22	$461.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $506.53 / $674.96	Professional		$242.00	$506.53	$674.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $222.01 / $305.81 / $506.53	Facility		$222.01	$305.81	$506.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $222.01 / $305.81 / $506.53	Professional		$222.01	$305.81	$506.53
United Facility/Professional Professional Modifier Low / Median / High Price $182.71 / $202.16 / $304.52	Professional		$182.71	$202.16	$304.52