Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.43 / $159.97 / $159.97	Facility		$132.43	$159.97	$159.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $159.97 / $220.19	Professional		$132.43	$159.97	$220.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.57 / $323.57 / $343.63	Facility		$323.57	$323.57	$343.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.71 / $192.71 / $251.53	Professional		$192.71	$192.71	$251.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $173.00 / $221.19	Professional		$173.00	$173.00	$221.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.08 / $268.08 / $268.08	Facility		$268.08	$268.08	$268.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $195.70 / $268.08	Professional		$195.70	$195.70	$268.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.50 / $291.20 / $388.28	Professional		$226.50	$291.20	$388.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $198.99 / $368.32	Facility		$104.21	$198.99	$368.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $404.46 / $538.95	Professional		$182.00	$404.46	$538.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $177.27 / $244.19 / $404.46	Facility		$177.27	$244.19	$404.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $177.27 / $244.19 / $404.46	Professional		$177.27	$244.19	$404.46
United Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $161.41 / $248.62	Professional		$145.90	$161.41	$248.62