Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.47 / $132.32 / $315.79	Facility		$122.47	$132.32	$315.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $132.32 / $186.20	Professional		$109.53	$132.32	$186.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $267.62 / $284.20	Facility		$267.62	$267.62	$284.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.53 / $148.53 / $185.67	Professional		$148.53	$148.53	$185.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $149.40 / $149.40 / $182.95	Professional		$149.40	$149.40	$182.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Facility		$135.00	$135.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $135.00 / $211.46	Professional		$98.55	$135.00	$211.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.33 / $240.86 / $321.14	Professional		$187.33	$240.86	$321.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.89 / $162.44 / $299.02	Facility		$78.89	$162.44	$299.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $334.53 / $445.78	Professional		$154.00	$334.53	$445.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $146.62 / $202.57 / $335.11	Facility		$146.62	$202.57	$335.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $146.62 / $202.57 / $335.11	Professional		$146.62	$202.57	$335.11
United Facility/Professional Professional Modifier Low / Median / High Price $110.95 / $133.51 / $201.12	Professional		$110.95	$133.51	$201.12