Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.54 / $177.02 / $177.02	Facility		$146.54	$177.02	$177.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.54 / $177.02 / $215.03	Professional		$146.54	$177.02	$215.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $358.03 / $358.03 / $380.23	Facility		$358.03	$358.03	$380.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.66 / $209.66 / $275.56	Professional		$209.66	$209.66	$275.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $192.00 / $244.75	Professional		$192.00	$192.00	$244.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.07 / $227.07 / $227.07	Facility		$227.07	$227.07	$227.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $165.76 / $227.07	Professional		$165.76	$165.76	$227.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.62 / $322.23 / $429.64	Professional		$250.62	$322.23	$429.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.31 / $211.13 / $407.55	Facility		$115.31	$211.13	$407.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $447.54 / $596.37	Professional		$201.00	$447.54	$596.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $196.15 / $271.01 / $448.31	Facility		$196.15	$271.01	$448.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $196.15 / $271.01 / $448.31	Professional		$196.15	$271.01	$448.31
United Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $178.62 / $269.06	Professional		$161.44	$178.62	$269.06