Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $169.82 / $257.04	Facility		$141.25	$169.82	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $346.74	Professional		$138.04	$181.97	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $371.54	Facility		$354.81	$354.81	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $446.68	Professional		$213.80	$213.80	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $239.88	Professional		$229.09	$229.09	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $213.80 / $213.80	Facility		$134.90	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $213.80	Professional		$154.88	$154.88	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $489.78	Professional		$245.47	$354.81	$489.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $229.09 / $407.38	Facility		$147.91	$229.09	$407.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $194.98 / $446.68	Professional		$190.55	$194.98	$446.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $288.40 / $489.78	Facility		$199.53	$288.40	$489.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $489.78	Professional		$199.53	$288.40	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $154.88 / $501.19	Facility		$109.65	$154.88	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $288.40	Professional		$154.88	$173.78	$288.40