Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.59 / $186.76 / $186.76	Facility		$154.59	$186.76	$186.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $186.76 / $207.11	Professional		$153.44	$186.76	$207.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.71 / $377.71 / $401.13	Facility		$377.71	$377.71	$401.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.61 / $172.61 / $229.83	Professional		$172.61	$172.61	$229.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $203.00 / $258.20	Professional		$203.00	$203.00	$258.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $180.71 / $180.71	Facility		$180.71	$180.71	$180.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $131.91 / $180.71	Professional		$131.91	$131.91	$180.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.39 / $339.94 / $453.25	Professional		$264.39	$339.94	$453.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.15 / $211.04 / $420.20	Facility		$93.15	$211.04	$420.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $472.14 / $629.14	Professional		$163.00	$472.14	$629.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $206.94 / $285.06 / $472.14	Facility		$206.94	$285.06	$472.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $206.94 / $285.06 / $472.14	Professional		$206.94	$285.06	$472.14
United Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $188.44 / $283.85	Professional		$144.28	$188.44	$283.85