Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.22 / $191.14 / $191.14	Facility		$158.22	$191.14	$191.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.22 / $191.14 / $218.95	Professional		$158.22	$191.14	$218.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $386.59 / $386.59 / $410.56	Facility		$386.59	$386.59	$410.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.09 / $210.09 / $272.67	Professional		$210.09	$210.09	$272.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $207.00 / $264.27	Professional		$207.00	$207.00	$264.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.64 / $215.87 / $215.87	Facility		$206.64	$215.87	$215.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $157.59 / $215.87	Professional		$157.59	$157.59	$215.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.61 / $347.93 / $463.91	Professional		$270.61	$347.93	$463.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $111.27 / $237.75 / $433.75	Facility		$111.27	$237.75	$433.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.00 / $483.24 / $643.92	Professional		$194.00	$483.24	$643.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $211.80 / $291.75 / $483.24	Facility		$211.80	$291.75	$483.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $211.80 / $291.75 / $483.24	Professional		$211.80	$291.75	$483.24
United Facility/Professional Professional Modifier Low / Median / High Price $156.50 / $192.86 / $289.77	Professional		$156.50	$192.86	$289.77