Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.34 / $130.88 / $130.88	Facility		$108.34	$130.88	$130.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $130.88 / $158.97	Professional		$108.34	$130.88	$158.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.70 / $264.70 / $281.11	Facility		$264.70	$264.70	$281.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.19 / $156.19 / $206.64	Professional		$156.19	$156.19	$206.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $142.00 / $180.95	Professional		$142.00	$142.00	$180.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.40 / $165.40 / $165.40	Facility		$165.40	$165.40	$165.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $120.74 / $165.40	Professional		$120.74	$120.74	$165.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.29 / $238.23 / $317.64	Professional		$185.29	$238.23	$317.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $162.80 / $301.31	Facility		$85.25	$162.80	$301.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $330.88 / $440.91	Professional		$149.00	$330.88	$440.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $145.03 / $199.77 / $330.88	Facility		$145.03	$199.77	$330.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $145.03 / $199.77 / $330.88	Professional		$145.03	$199.77	$330.88
United Facility/Professional Professional Modifier Low / Median / High Price $119.36 / $132.05 / $198.93	Professional		$119.36	$132.05	$198.93