Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.25 / $182.72 / $182.72	Facility		$151.25	$182.72	$182.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.25 / $182.72 / $211.05	Professional		$151.25	$182.72	$211.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $369.55 / $369.55 / $392.46	Facility		$369.55	$369.55	$392.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.09 / $225.09 / $283.23	Professional		$225.09	$225.09	$283.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $198.00 / $252.62	Professional		$198.00	$198.00	$252.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.92 / $230.92 / $230.92	Facility		$230.92	$230.92	$230.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $168.57 / $230.92	Professional		$168.57	$168.57	$230.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.69 / $332.60 / $443.46	Professional		$258.69	$332.60	$443.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.03 / $227.28 / $420.68	Facility		$119.03	$227.28	$420.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $461.94 / $615.55	Professional		$208.00	$461.94	$615.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $202.47 / $279.73 / $462.75	Facility		$202.47	$279.73	$462.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $202.47 / $279.73 / $462.75	Professional		$202.47	$279.73	$462.75
United Facility/Professional Professional Modifier Low / Median / High Price $166.63 / $184.37 / $277.72	Professional		$166.63	$184.37	$277.72