Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.44 / $203.49 / $203.49	Facility		$168.44	$203.49	$203.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.44 / $203.49 / $295.06	Professional		$168.44	$203.49	$295.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.55 / $411.55 / $437.07	Facility		$411.55	$411.55	$437.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.56 / $246.56 / $312.02	Professional		$246.56	$246.56	$312.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $221.00 / $281.33	Professional		$221.00	$221.00	$281.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.02 / $264.44 / $264.44	Facility		$261.02	$264.44	$264.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $193.04 / $264.44	Professional		$193.04	$193.04	$264.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.08 / $370.40 / $493.86	Professional		$288.08	$370.40	$493.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.55 / $253.11 / $468.48	Facility		$132.55	$253.11	$468.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $494.00 / $685.51	Professional		$237.00	$494.00	$685.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $225.48 / $310.58 / $514.44	Facility		$225.48	$310.58	$514.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $225.48 / $310.58 / $514.44	Professional		$225.48	$310.58	$514.44
United Facility/Professional Professional Modifier Low / Median / High Price $185.57 / $205.32 / $309.27	Professional		$185.57	$205.32	$309.27