Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $169.97 / $522.16	Facility		$169.96	$169.97	$522.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $169.97 / $201.16	Professional		$140.69	$169.97	$201.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.78 / $343.78 / $365.09	Facility		$343.78	$343.78	$365.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.64 / $191.64 / $239.56	Professional		$191.64	$191.64	$239.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $209.15 / $209.15 / $235.00	Professional		$209.15	$209.15	$235.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.98 / $212.98 / $212.98	Facility		$212.98	$212.98	$212.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $155.47 / $288.22	Professional		$155.47	$155.47	$288.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.65 / $309.39 / $412.54	Professional		$240.65	$309.39	$412.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.34 / $192.07 / $384.12	Facility		$101.34	$192.07	$384.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $259.12 / $429.73 / $572.62	Professional		$259.12	$429.73	$572.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $188.34 / $266.39 / $439.21	Facility		$188.34	$266.39	$439.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $188.34 / $266.39 / $439.21	Professional		$188.34	$266.39	$439.21
United Facility/Professional Professional Modifier Low / Median / High Price $142.53 / $171.50 / $257.68	Professional		$142.53	$171.50	$257.68