Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.47 / $174.54 / $174.54	Facility		$144.47	$174.54	$174.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.21 / $174.54 / $384.59	Professional		$141.21	$174.54	$384.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.01 / $353.01 / $374.90	Facility		$353.01	$353.01	$374.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $206.00 / $271.62	Professional		$206.00	$206.00	$271.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $189.00 / $241.32	Professional		$189.00	$189.00	$241.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $243.27	Facility		$229.50	$229.50	$243.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $167.54 / $243.27	Professional		$167.54	$167.54	$243.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $317.70 / $423.61	Professional		$247.11	$317.70	$423.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.77 / $217.10 / $401.84	Facility		$109.77	$217.10	$401.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $441.26 / $588.00	Professional		$192.00	$441.26	$588.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $266.41 / $421.31	Facility		$193.40	$266.41	$421.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $193.40 / $266.41 / $421.31	Professional		$193.40	$266.41	$421.31
United Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $176.11 / $265.29	Professional		$154.38	$176.11	$265.29