Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $143.32 / $280.08	Facility		$132.91	$143.32	$280.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.64 / $143.32 / $169.59	Professional		$118.64	$143.32	$169.59
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 $155.36 / $155.36 / $194.21	Professional		$155.36	$155.36	$194.21
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 $176.58 / $176.58 / $176.58	Facility		$176.58	$176.58	$176.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $128.90 / $229.86	Professional		$128.90	$128.90	$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 / $323.89	Facility		$85.45	$167.68	$323.89
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 $158.81 / $219.76 / $362.96	Facility		$158.81	$219.76	$362.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $158.81 / $219.76 / $362.96	Professional		$158.81	$219.76	$362.96
United Facility/Professional Professional Modifier Low / Median / High Price $129.60 / $144.61 / $217.28	Professional		$129.60	$144.61	$217.28