Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.55 / $192.55 / $194.61	Facility		$192.55	$192.55	$194.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.63 / $192.55 / $219.28	Professional		$172.63	$192.55	$219.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $365.10 / $365.10 / $387.74	Facility		$365.10	$365.10	$387.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.24 / $220.24 / $290.76	Professional		$220.24	$220.24	$290.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $196.00 / $249.58	Professional		$196.00	$196.00	$249.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.64 / $274.64 / $274.64	Facility		$274.64	$274.64	$274.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $200.49 / $274.64	Professional		$200.49	$200.49	$274.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.57 / $328.59 / $438.12	Professional		$255.57	$328.59	$438.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.59 / $224.54 / $415.60	Facility		$117.59	$224.54	$415.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $205.00 / $479.56 / $608.14	Professional		$205.00	$479.56	$608.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $200.03 / $274.38 / $456.38	Facility		$200.03	$274.38	$456.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $200.03 / $274.38 / $456.38	Professional		$200.03	$274.38	$456.38
United Facility/Professional Professional Modifier Low / Median / High Price $169.66 / $182.14 / $280.68	Professional		$169.66	$182.14	$280.68