Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $323.59	Professional		$158.49	$204.17	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $416.87	Facility		$398.11	$398.11	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $457.09	Professional		$218.78	$218.78	$457.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $269.15	Professional		$208.93	$208.93	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $295.12 / $295.12	Facility		$190.55	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $295.12	Professional		$213.80	$213.80	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $549.54	Professional		$275.42	$398.11	$549.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $389.05	Professional		$199.53	$257.04	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $275.42 / $501.19	Facility		$158.49	$275.42	$501.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $218.78 / $257.04	Professional		$213.80	$218.78	$257.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $323.59 / $1,148.15	Facility		$213.80	$323.59	$1,148.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $1,148.15	Professional		$213.80	$323.59	$1,148.15
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 / $194.98 / $288.40	Professional		$173.78	$194.98	$288.40