Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.36 / $126.36 / $127.71	Facility		$126.36	$126.36	$127.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $126.36 / $127.71	Professional		$117.49	$126.36	$127.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.60 / $239.60 / $254.46	Facility		$239.60	$239.60	$254.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.97 / $126.97 / $167.16	Professional		$126.97	$126.97	$167.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $163.79	Professional		$128.00	$128.00	$163.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $166.47 / $166.47	Facility		$166.47	$166.47	$166.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $121.52 / $166.47	Professional		$121.52	$121.52	$166.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.72 / $215.64 / $287.52	Professional		$167.72	$215.64	$287.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $147.35 / $272.74	Facility		$68.09	$147.35	$272.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $314.70 / $399.09	Professional		$119.00	$314.70	$399.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $131.26 / $180.81 / $299.50	Facility		$131.26	$180.81	$299.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $131.26 / $180.81 / $299.50	Professional		$131.26	$180.81	$299.50
United Facility/Professional Professional Modifier Low / Median / High Price $108.03 / $119.53 / $171.48	Professional		$108.03	$119.53	$171.48