Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.99 / $175.99 / $177.86	Facility		$175.99	$175.99	$177.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.80 / $175.99 / $210.37	Professional		$171.80	$175.99	$210.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.68 / $333.68 / $354.37	Facility		$333.68	$333.68	$354.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $257.41	Professional		$202.82	$202.82	$257.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $179.00 / $228.10	Professional		$179.00	$179.00	$228.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.37 / $209.59 / $209.59	Facility		$178.37	$209.59	$209.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $209.59	Professional		$153.00	$153.00	$209.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.58 / $300.31 / $400.42	Professional		$233.58	$300.31	$400.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.47 / $211.65 / $379.85	Facility		$107.47	$211.65	$379.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $438.30 / $555.82	Professional		$188.00	$438.30	$555.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $182.82 / $251.84 / $417.10	Facility		$182.82	$251.84	$417.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $182.82 / $251.84 / $417.10	Professional		$182.82	$251.84	$417.10
United Facility/Professional Facility Modifier Low / Median / High Price $128.27 / $219.98 / $250.82	Facility		$128.27	$219.98	$250.82
United Facility/Professional Professional Modifier Low / Median / High Price $155.15 / $166.47 / $256.52	Professional		$155.15	$166.47	$256.52