Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $346.74	Professional		$162.18	$194.98	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $398.11	Facility		$380.19	$380.19	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $467.74	Professional		$223.87	$223.87	$467.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $257.04	Professional		$199.53	$199.53	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $239.88 / $239.88	Facility		$158.49	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $239.88	Professional		$173.78	$173.78	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $524.81	Professional		$263.03	$380.19	$524.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $371.54	Professional		$208.93	$245.47	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $281.84 / $524.81	Facility		$162.18	$281.84	$524.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $218.78 / $245.47	Professional		$204.17	$218.78	$245.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $309.03 / $1,096.48	Facility		$204.17	$309.03	$1,096.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $1,096.48	Professional		$204.17	$309.03	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $275.42 / $588.84	Facility		$138.04	$275.42	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $281.84	Professional		$173.78	$186.21	$281.84