Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.40 / $187.61 / $209.00	Facility		$166.40	$187.61	$209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.30 / $187.61 / $262.08	Professional		$155.30	$187.61	$262.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.44 / $379.44 / $402.97	Facility		$379.44	$379.44	$402.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.17 / $230.17 / $300.13	Professional		$230.17	$230.17	$300.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $203.00 / $259.39	Professional		$203.00	$203.00	$259.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $237.10 / $237.10	Facility		$225.12	$237.10	$237.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $173.08 / $237.10	Professional		$173.08	$173.08	$237.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.61 / $341.50 / $455.33	Professional		$265.61	$341.50	$455.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.21 / $233.37 / $431.93	Facility		$122.21	$233.37	$431.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $253.00 / $455.00 / $632.03	Professional		$253.00	$455.00	$632.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $207.89 / $286.36 / $463.97	Facility		$207.89	$286.36	$463.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $207.89 / $286.36 / $463.97	Professional		$207.89	$286.36	$463.97
United Facility/Professional Professional Modifier Low / Median / High Price $171.09 / $189.30 / $285.14	Professional		$171.09	$189.30	$285.14