Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.69 / $184.46 / $184.46	Facility		$152.69	$184.46	$184.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.69 / $184.46 / $268.48	Professional		$152.69	$184.46	$268.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.06 / $373.06 / $396.19	Facility		$373.06	$373.06	$396.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.79 / $222.79 / $293.02	Professional		$222.79	$222.79	$293.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $255.02	Professional		$200.00	$200.00	$255.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.42 / $291.02 / $291.02	Facility		$199.42	$291.02	$291.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $212.45 / $291.02	Professional		$212.45	$212.45	$291.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $335.75 / $447.67	Professional		$261.14	$335.75	$447.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.15 / $229.44 / $436.22	Facility		$120.15	$229.44	$436.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $466.33 / $621.41	Professional		$264.00	$466.33	$621.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $204.39 / $281.54 / $466.33	Facility		$204.39	$281.54	$466.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $204.39 / $281.54 / $466.33	Professional		$204.39	$281.54	$466.33
United Facility/Professional Facility Modifier Low / Median / High Price $140.18 / $184.46 / $211.05	Facility		$140.18	$184.46	$211.05
United Facility/Professional Professional Modifier Low / Median / High Price $168.22 / $186.11 / $280.36	Professional		$168.22	$186.11	$280.36