Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $181.97 / $467.74	Facility		$151.36	$181.97	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $549.54	Professional		$151.36	$199.53	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $398.11	Facility		$380.19	$380.19	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $457.09	Professional		$223.87	$223.87	$457.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $257.04	Professional		$194.98	$194.98	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $208.93 / $208.93	Facility		$165.96	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $208.93	Professional		$154.88	$154.88	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $524.81	Professional		$263.03	$380.19	$524.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $371.54	Professional		$190.55	$245.47	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $245.47 / $457.09	Facility		$151.36	$245.47	$457.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $467.74	Professional		$204.17	$245.47	$467.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $309.03 / $1,096.48	Facility		$190.55	$309.03	$1,096.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $1,096.48	Professional		$190.55	$309.03	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $165.96 / $537.03	Facility		$114.82	$165.96	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $186.21 / $295.12	Professional		$165.96	$186.21	$295.12