Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.29 / $161.29 / $163.00	Facility		$161.29	$161.29	$163.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.61 / $161.29 / $177.44	Professional		$144.61	$161.29	$177.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.82 / $305.82 / $324.77	Facility		$305.82	$305.82	$324.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.03 / $186.03 / $238.65	Professional		$186.03	$186.03	$238.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $171.39 / $209.06	Professional		$164.00	$171.39	$209.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.47 / $197.02 / $197.02	Facility		$163.47	$197.02	$197.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $143.82 / $197.02	Professional		$143.82	$143.82	$197.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.07 / $275.24 / $366.98	Professional		$214.07	$275.24	$366.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.50 / $193.97 / $348.13	Facility		$98.50	$193.97	$348.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $401.69 / $509.39	Professional		$172.00	$401.69	$509.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $167.55 / $229.83 / $382.28	Facility		$167.55	$229.83	$382.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $167.55 / $229.83 / $382.28	Professional		$167.55	$229.83	$382.28
United Facility/Professional Facility Modifier Low / Median / High Price $136.63 / $136.63 / $136.63	Facility		$136.63	$136.63	$136.63
United Facility/Professional Professional Modifier Low / Median / High Price $137.90 / $152.57 / $235.11	Professional		$137.90	$152.57	$235.11