Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.86 / $181.03 / $181.03	Facility		$149.86	$181.03	$181.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.86 / $181.03 / $213.46	Professional		$149.86	$181.03	$213.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $366.14 / $366.14 / $388.84	Facility		$366.14	$366.14	$388.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.46 / $216.46 / $272.51	Professional		$216.46	$216.46	$272.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $196.00 / $250.29	Professional		$196.00	$196.00	$250.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.89 / $243.89 / $243.89	Facility		$243.89	$243.89	$243.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $178.04 / $243.89	Professional		$178.04	$178.04	$243.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $256.30 / $329.53 / $439.37	Professional		$256.30	$329.53	$439.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $225.18 / $416.79	Facility		$114.47	$225.18	$416.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $457.68 / $609.88	Professional		$200.00	$457.68	$609.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $200.59 / $276.32 / $457.68	Facility		$200.59	$276.32	$457.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $200.59 / $276.32 / $457.68	Professional		$200.59	$276.32	$457.68
United Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $182.66 / $275.14	Professional		$161.00	$182.66	$275.14