Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.26 / $148.91 / $148.91	Facility		$123.26	$148.91	$148.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $148.91 / $172.00	Professional		$123.26	$148.91	$172.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.17 / $301.17 / $319.83	Facility		$301.17	$301.17	$319.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $183.43 / $229.30	Professional		$183.43	$183.43	$229.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $161.00 / $161.00	Professional		$161.00	$161.00	$161.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.19 / $188.19 / $188.19	Facility		$188.19	$188.19	$188.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $137.38 / $188.19	Professional		$137.38	$137.38	$188.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.82 / $271.05 / $361.40	Professional		$210.82	$271.05	$361.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $185.22 / $342.84	Facility		$97.00	$185.22	$342.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $376.46 / $501.66	Professional		$169.00	$376.46	$501.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $227.97 / $377.12	Facility		$165.00	$227.97	$377.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $227.97 / $377.12	Professional		$165.00	$227.97	$377.12
United Facility/Professional Professional Modifier Low / Median / High Price $135.80 / $150.25 / $226.33	Professional		$135.80	$150.25	$226.33