Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.00 / $179.00 / $180.91	Facility		$179.00	$179.00	$180.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $179.00 / $204.70	Professional		$179.00	$179.00	$204.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $339.40 / $339.40 / $360.44	Facility		$339.40	$339.40	$360.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.41 / $205.41 / $264.83	Professional		$205.41	$205.41	$264.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $182.00 / $182.00	Professional		$182.00	$182.00	$182.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $244.07 / $244.07	Facility		$244.07	$244.07	$244.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $178.17 / $244.07	Professional		$178.17	$178.17	$244.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.58 / $305.45 / $407.28	Professional		$237.58	$305.45	$407.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.28 / $208.74 / $386.35	Facility		$108.28	$208.74	$386.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $445.81 / $565.34	Professional		$225.00	$445.81	$565.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $185.96 / $256.14 / $424.25	Facility		$185.96	$256.14	$424.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $185.96 / $256.14 / $424.25	Professional		$185.96	$256.14	$424.25
United Facility/Professional Facility Modifier Low / Median / High Price $448.26 / $448.26 / $537.91	Facility		$448.26	$448.26	$537.91
United Facility/Professional Professional Modifier Low / Median / High Price $157.72 / $169.33 / $258.45	Professional		$157.72	$169.33	$258.45