Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.19 / $182.65 / $182.65	Facility		$151.19	$182.65	$182.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.19 / $182.65 / $396.17	Professional		$151.19	$182.65	$396.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $369.41 / $369.41 / $392.31	Facility		$369.41	$369.41	$392.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.34 / $221.34 / $272.14	Professional		$221.34	$221.34	$272.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.08 / $194.08 / $252.53	Professional		$194.08	$194.08	$252.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.50 / $211.27 / $211.27	Facility		$107.50	$211.27	$211.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $154.22 / $211.27	Professional		$154.22	$154.22	$211.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.58 / $332.47 / $443.29	Professional		$258.58	$332.47	$443.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.90 / $224.23 / $420.51	Facility		$108.90	$224.23	$420.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $461.76 / $615.32	Professional		$219.00	$461.76	$615.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $182.19 / $277.61 / $462.56	Facility		$182.19	$277.61	$462.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $182.19 / $277.61 / $462.56	Professional		$182.19	$277.61	$462.56
United Facility/Professional Professional Modifier Low / Median / High Price $153.16 / $184.30 / $277.61	Professional		$153.16	$184.30	$277.61