Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.29 / $200.29 / $202.43	Facility		$200.29	$200.29	$202.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.46 / $200.29 / $202.74	Professional		$171.46	$200.29	$202.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.78 / $379.78 / $403.33	Facility		$379.78	$379.78	$403.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.69 / $214.69 / $268.38	Professional		$214.69	$214.69	$268.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $204.00 / $259.62	Professional		$204.00	$204.00	$259.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.01 / $271.68 / $271.68	Facility		$203.01	$271.68	$271.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $198.33 / $271.68	Professional		$198.33	$198.33	$271.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.85 / $341.80 / $455.74	Professional		$265.85	$341.80	$455.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.72 / $233.57 / $426.12	Facility		$108.72	$233.57	$426.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $498.84 / $632.59	Professional		$202.00	$498.84	$632.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $208.07 / $285.41 / $474.73	Facility		$208.07	$285.41	$474.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $208.07 / $285.41 / $474.73	Professional		$208.07	$285.41	$474.73
United Facility/Professional Professional Modifier Low / Median / High Price $171.25 / $189.47 / $271.82	Professional		$171.25	$189.47	$271.82