Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.96 / $138.96 / $140.44	Facility		$138.96	$138.96	$140.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $138.96 / $146.40	Professional		$128.04	$138.96	$146.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.49 / $263.49 / $279.83	Facility		$263.49	$263.49	$279.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.22 / $148.22 / $190.89	Professional		$148.22	$148.22	$190.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $141.00 / $180.12	Professional		$141.00	$141.00	$180.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $184.91 / $184.91	Facility		$140.85	$184.91	$184.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $134.97 / $184.91	Professional		$134.97	$134.97	$184.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.44 / $237.14 / $316.19	Professional		$184.44	$237.14	$316.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.51 / $166.78 / $295.64	Facility		$78.51	$166.78	$295.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $346.09 / $438.88	Professional		$137.00	$346.09	$438.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $144.36 / $198.02 / $329.36	Facility		$144.36	$198.02	$329.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $144.36 / $198.02 / $329.36	Professional		$144.36	$198.02	$329.36
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $131.44 / $188.59	Professional		$118.81	$131.44	$188.59