Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.12 / $149.94 / $149.94	Facility		$124.12	$149.94	$149.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.12 / $149.94 / $164.32	Professional		$124.12	$149.94	$164.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.26 / $303.26 / $322.06	Facility		$303.26	$303.26	$322.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.91 / $163.91 / $209.84	Professional		$163.91	$163.91	$209.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $163.00 / $163.00	Professional		$163.00	$163.00	$163.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.10 / $170.96 / $170.96	Facility		$162.10	$170.96	$170.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $170.96	Professional		$124.80	$124.80	$170.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.28 / $272.93 / $363.91	Professional		$212.28	$272.93	$363.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.12 / $186.50 / $340.26	Facility		$88.12	$186.50	$340.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $379.08 / $505.14	Professional		$154.00	$379.08	$505.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $166.15 / $228.86 / $379.08	Facility		$166.15	$228.86	$379.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $166.15 / $228.86 / $379.08	Professional		$166.15	$228.86	$379.08
United Facility/Professional Professional Modifier Low / Median / High Price $123.94 / $151.30 / $227.32	Professional		$123.94	$151.30	$227.32