Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.57 / $168.60 / $168.60	Facility		$139.57	$168.60	$168.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.57 / $168.60 / $172.03	Professional		$139.57	$168.60	$172.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $341.00 / $341.00 / $362.14	Facility		$341.00	$341.00	$362.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.18 / $183.18 / $240.53	Professional		$183.18	$183.18	$240.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $183.00 / $183.00	Professional		$183.00	$183.00	$183.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.27 / $188.22 / $188.22	Facility		$182.27	$188.22	$188.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $137.40 / $188.22	Professional		$137.40	$137.40	$188.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.70 / $306.89 / $409.20	Professional		$238.70	$306.89	$409.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.02 / $209.71 / $382.60	Facility		$97.02	$209.71	$382.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $426.25 / $568.00	Professional		$169.00	$426.25	$568.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $186.82 / $257.33 / $426.25	Facility		$186.82	$257.33	$426.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $186.82 / $257.33 / $426.25	Professional		$186.82	$257.33	$426.25
United Facility/Professional Facility Modifier Low / Median / High Price $204.62 / $204.62 / $204.62	Facility		$204.62	$204.62	$204.62
United Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $170.12 / $255.60	Professional		$136.44	$170.12	$255.60