Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.76 / $195.76 / $197.85	Facility		$195.76	$195.76	$197.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.33 / $195.76 / $197.85	Professional		$171.33	$195.76	$197.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.19 / $371.19 / $394.20	Facility		$371.19	$371.19	$394.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.18 / $197.18 / $256.87	Professional		$197.18	$197.18	$256.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $208.01 / $253.74	Professional		$199.00	$208.01	$253.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.51 / $203.51 / $203.51	Facility		$203.51	$203.51	$203.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $148.56 / $203.51	Professional		$148.56	$148.56	$203.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.83 / $334.07 / $445.43	Professional		$259.83	$334.07	$445.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.90 / $229.00 / $416.47	Facility		$104.90	$229.00	$416.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $487.55 / $618.28	Professional		$183.00	$487.55	$618.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $203.36 / $280.13 / $463.99	Facility		$203.36	$280.13	$463.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $203.36 / $280.13 / $463.99	Professional		$203.36	$280.13	$463.99
United Facility/Professional Professional Modifier Low / Median / High Price $167.36 / $185.18 / $265.66	Professional		$167.36	$185.18	$265.66