Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.76 / $156.76 / $156.76	Facility		$129.76	$156.76	$156.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.76 / $156.76 / $185.22	Professional		$129.76	$156.76	$185.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $317.05 / $317.05 / $336.71	Facility		$317.05	$317.05	$336.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.22 / $191.22 / $243.80	Professional		$191.22	$191.22	$243.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $216.73	Professional		$170.00	$170.00	$216.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $205.09	Facility		$205.09	$205.09	$205.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $149.72 / $205.09	Professional		$149.72	$149.72	$205.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.94 / $285.35 / $380.46	Professional		$221.94	$285.35	$380.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.11 / $194.99 / $360.91	Facility		$102.11	$194.99	$360.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $396.31 / $528.10	Professional		$192.00	$396.31	$528.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $173.71 / $239.99 / $397.00	Facility		$173.71	$239.99	$397.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $173.71 / $239.99 / $397.00	Professional		$173.71	$239.99	$397.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.96 / $158.16 / $238.27	Professional		$142.96	$158.16	$238.27