Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.29 / $99.23 / $171.40	Facility		$76.29	$99.23	$171.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.83 / $171.40 / $241.19	Professional		$140.83	$171.40	$241.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.66 / $346.66 / $368.15	Facility		$346.66	$346.66	$368.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.42 / $189.42 / $241.58	Professional		$189.42	$189.42	$241.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $186.00 / $236.98	Professional		$186.00	$186.00	$236.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.69 / $194.92 / $194.92	Facility		$184.69	$194.92	$194.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $142.29 / $194.92	Professional		$142.29	$142.29	$194.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.66 / $311.99 / $415.99	Professional		$242.66	$311.99	$415.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.47 / $213.20 / $388.94	Facility		$100.47	$213.20	$388.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $455.34 / $577.42	Professional		$186.00	$455.34	$577.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $199.97 / $260.51 / $423.89	Facility		$199.97	$260.51	$423.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $199.97 / $260.51 / $423.89	Professional		$199.97	$260.51	$423.89
United Facility/Professional Professional Modifier Low / Median / High Price $141.30 / $172.94 / $260.51	Professional		$141.30	$172.94	$260.51