Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.18 / $137.93 / $137.93	Facility		$114.18	$137.93	$137.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.18 / $137.93 / $159.32	Professional		$114.18	$137.93	$159.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.97 / $278.97 / $296.27	Facility		$278.97	$278.97	$296.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.99 / $169.99 / $219.51	Professional		$169.99	$169.99	$219.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $174.32 / $174.32	Facility		$174.32	$174.32	$174.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $127.25 / $174.32	Professional		$127.25	$127.25	$174.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.28 / $251.07 / $334.76	Professional		$195.28	$251.07	$334.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $171.57 / $317.56	Facility		$89.85	$171.57	$317.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $348.71 / $464.68	Professional		$157.00	$348.71	$464.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $152.84 / $210.54 / $348.71	Facility		$152.84	$210.54	$348.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $152.84 / $210.54 / $348.71	Professional		$152.84	$210.54	$348.71
United Facility/Professional Professional Modifier Low / Median / High Price $125.79 / $139.18 / $209.65	Professional		$125.79	$139.18	$209.65