Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.75 / $177.75 / $179.64	Facility		$177.75	$177.75	$179.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.05 / $177.75 / $191.21	Professional		$174.05	$177.75	$191.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.02 / $337.02 / $357.92	Facility		$337.02	$337.02	$357.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.58 / $201.58 / $251.99	Professional		$201.58	$201.58	$251.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.00 / $181.00 / $230.38	Professional		$181.00	$181.00	$230.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.07 / $221.07 / $221.07	Facility		$221.07	$221.07	$221.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $161.38 / $221.07	Professional		$161.38	$161.38	$221.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.91 / $303.32 / $404.42	Professional		$235.91	$303.32	$404.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.53 / $213.33 / $383.64	Facility		$102.53	$213.33	$383.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $442.68 / $561.37	Professional		$190.00	$442.68	$561.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $184.65 / $253.28 / $421.28	Facility		$184.65	$253.28	$421.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $184.65 / $253.28 / $421.28	Professional		$184.65	$253.28	$421.28
United Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $168.14 / $244.74	Professional		$151.97	$168.14	$244.74