Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.40 / $171.40 / $258.50	Facility		$171.40	$171.40	$258.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $171.40 / $241.19	Professional		$141.88	$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 $216.09 / $216.09 / $270.13	Professional		$216.09	$216.09	$270.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $230.62 / $230.62 / $236.98	Professional		$230.62	$230.62	$236.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.16 / $214.16 / $291.73	Facility		$214.16	$214.16	$291.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $156.34 / $251.13	Professional		$156.34	$156.34	$251.13
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 $141.88 / $189.92 / $357.09	Facility		$141.88	$189.92	$357.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $230.62 / $416.00 / $577.42	Professional		$230.62	$416.00	$577.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $199.97 / $271.32 / $393.45	Facility		$199.97	$271.32	$393.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $199.97 / $271.32 / $393.45	Professional		$199.97	$271.32	$393.45
United Facility/Professional Facility Modifier Low / Median / High Price $119.63 / $154.24 / $165.61	Facility		$119.63	$154.24	$165.61
United Facility/Professional Professional Modifier Low / Median / High Price $154.24 / $172.94 / $271.32	Professional		$154.24	$172.94	$271.32