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 $160.30 / $160.30 / $180.12	Professional		$160.30	$160.30	$180.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.21 / $159.21 / $159.21	Facility		$159.21	$159.21	$159.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $116.22 / $159.21	Professional		$116.22	$116.22	$159.21
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 / $162.06 / $294.42	Facility		$78.51	$162.06	$294.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $178.37 / $346.09 / $438.88	Professional		$178.37	$346.09	$438.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $144.36 / $202.57 / $336.63	Facility		$144.36	$202.57	$336.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $144.36 / $202.57 / $336.63	Professional		$144.36	$202.57	$336.63
United Facility/Professional Professional Modifier Low / Median / High Price $121.61 / $131.44 / $188.59	Professional		$121.61	$131.44	$188.59