Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $165.96 / $389.05	Facility		$109.65	$165.96	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $295.12	Professional		$91.20	$151.36	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $288.40	Facility		$275.42	$275.42	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $331.13	Professional		$158.49	$158.49	$331.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $186.21	Professional		$177.83	$177.83	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $141.25	Facility		$112.20	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $141.25	Professional		$104.71	$104.71	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $380.19	Professional		$190.55	$275.42	$380.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $177.83 / $323.59	Facility		$125.89	$177.83	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $165.96 / $338.84	Professional		$147.91	$165.96	$338.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $218.78 / $371.54	Facility		$154.88	$218.78	$371.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $371.54	Professional		$154.88	$218.78	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $120.23 / $389.05	Facility		$87.10	$120.23	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $218.78	Professional		$123.03	$134.90	$218.78