Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.32 / $185.87 / $326.58	Facility		$143.32	$185.87	$326.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.64 / $143.32 / $253.82	Professional		$118.64	$143.32	$253.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.86 / $289.86 / $307.83	Facility		$289.86	$289.86	$307.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.35 / $159.35 / $199.20	Professional		$159.35	$159.35	$199.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $176.35 / $176.35 / $198.15	Professional		$176.35	$176.35	$198.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Facility		$175.00	$175.00	$175.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $127.75 / $229.86	Professional		$127.75	$127.75	$229.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $260.87 / $347.83	Professional		$202.90	$260.87	$347.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.45 / $167.68 / $325.25	Facility		$85.45	$167.68	$325.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $218.49 / $348.00 / $482.83	Professional		$218.49	$348.00	$482.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $167.21 / $230.96 / $367.13	Facility		$167.21	$230.96	$367.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $167.21 / $230.96 / $367.13	Professional		$167.21	$230.96	$367.13
United Facility/Professional Facility Modifier Low / Median / High Price $353.74 / $353.74 / $424.49	Facility		$353.74	$353.74	$424.49
United Facility/Professional Professional Modifier Low / Median / High Price $122.38 / $144.61 / $217.28	Professional		$122.38	$144.61	$217.28