Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.43 / $136.43 / $137.88	Facility		$136.43	$136.43	$137.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.85 / $136.43 / $168.41	Professional		$126.85	$136.43	$168.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.68 / $258.68 / $274.72	Facility		$258.68	$258.68	$274.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.09 / $156.09 / $202.45	Professional		$156.09	$156.09	$202.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $139.00 / $176.83	Professional		$139.00	$139.00	$176.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $161.63	Facility		$161.63	$161.63	$161.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $117.99 / $161.63	Professional		$117.99	$117.99	$161.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $232.81 / $310.42	Professional		$181.08	$232.81	$310.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.31 / $159.62 / $294.45	Facility		$83.31	$159.62	$294.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $339.77 / $430.87	Professional		$145.00	$339.77	$430.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $141.72 / $194.40 / $323.35	Facility		$141.72	$194.40	$323.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $141.72 / $194.40 / $323.35	Professional		$141.72	$194.40	$323.35
United Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $170.54 / $194.44	Facility		$97.44	$170.54	$194.44
United Facility/Professional Professional Modifier Low / Median / High Price $119.32 / $129.05 / $198.86	Professional		$119.32	$129.05	$198.86