Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.41 / $201.03 / $201.03	Facility		$166.41	$201.03	$201.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $201.03 / $201.03	Professional		$166.41	$201.03	$201.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.59 / $406.59 / $431.80	Facility		$406.59	$406.59	$431.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.57 / $205.57 / $270.55	Professional		$205.57	$205.57	$270.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $218.00 / $277.94	Professional		$218.00	$218.00	$277.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.34 / $218.27 / $218.27	Facility		$217.34	$218.27	$218.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $159.34 / $218.27	Professional		$159.34	$159.34	$218.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.61 / $365.93 / $487.91	Professional		$284.61	$365.93	$487.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.67 / $247.28 / $456.21	Facility		$108.67	$247.28	$456.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $253.00 / $508.24 / $677.25	Professional		$253.00	$508.24	$677.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $222.76 / $306.85 / $508.24	Facility		$222.76	$306.85	$508.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $222.76 / $306.85 / $508.24	Professional		$222.76	$306.85	$508.24
United Facility/Professional Professional Modifier Low / Median / High Price $155.63 / $202.84 / $304.77	Professional		$155.63	$202.84	$304.77