Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.88 / $281.82 / $438.00	Facility		$197.88	$281.82	$438.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $197.88 / $278.45	Professional		$163.80	$197.88	$278.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.22 / $400.22 / $425.03	Facility		$400.22	$400.22	$425.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.05 / $221.05 / $276.33	Professional		$221.05	$221.05	$276.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $243.47 / $243.47 / $273.58	Professional		$243.47	$243.47	$273.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $233.36 / $233.36	Facility		$233.36	$233.36	$233.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $170.35 / $320.38	Professional		$170.35	$170.35	$320.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $280.14 / $360.20 / $480.26	Professional		$280.14	$360.20	$480.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.58 / $223.60 / $445.23	Facility		$117.58	$223.60	$445.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $276.74 / $500.28 / $666.65	Professional		$276.74	$500.28	$666.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $199.98 / $302.02 / $501.14	Facility		$199.98	$302.02	$501.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $199.98 / $302.02 / $501.14	Professional		$199.98	$302.02	$501.14
United Facility/Professional Professional Modifier Low / Median / High Price $154.36 / $199.66 / $300.76	Professional		$154.36	$199.66	$300.76