Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.61 / $148.12 / $148.12	Facility		$122.61	$148.12	$148.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.77 / $148.12 / $181.91	Professional		$118.77	$148.12	$181.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.57 / $299.57 / $318.14	Facility		$299.57	$299.57	$318.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.87 / $155.87 / $207.54	Professional		$155.87	$155.87	$207.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $161.00 / $204.79	Professional		$161.00	$161.00	$204.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $159.91	Facility		$159.91	$159.91	$159.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $116.74 / $159.91	Professional		$116.74	$116.74	$159.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.70 / $269.61 / $359.48	Professional		$209.70	$269.61	$359.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.43 / $184.24 / $341.02	Facility		$82.43	$184.24	$341.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $374.46 / $499.00	Professional		$146.00	$374.46	$499.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $164.12 / $226.08 / $374.46	Facility		$164.12	$226.08	$374.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $226.08 / $374.46	Professional		$164.12	$226.08	$374.46
United Facility/Professional Professional Modifier Low / Median / High Price $115.93 / $149.44 / $225.13	Professional		$115.93	$149.44	$225.13