Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.38 / $169.38 / $171.19	Facility		$169.38	$169.38	$171.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.79 / $169.38 / $171.19	Professional		$131.79	$169.38	$171.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $321.17 / $321.17 / $341.08	Facility		$321.17	$321.17	$341.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.44 / $159.44 / $210.13	Professional		$159.44	$159.44	$210.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $172.00 / $219.55	Professional		$172.00	$172.00	$219.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.10 / $225.10 / $225.10	Facility		$225.10	$225.10	$225.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $164.32 / $225.10	Professional		$164.32	$164.32	$225.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.82 / $289.05 / $385.40	Professional		$224.82	$289.05	$385.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $197.52 / $360.35	Facility		$84.06	$197.52	$360.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $421.85 / $534.96	Professional		$147.00	$421.85	$534.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $175.96 / $242.38 / $401.46	Facility		$175.96	$242.38	$401.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $175.96 / $242.38 / $401.46	Professional		$175.96	$242.38	$401.46
United Facility/Professional Facility Modifier Low / Median / High Price $98.31 / $172.06 / $196.18	Facility		$98.31	$172.06	$196.18
United Facility/Professional Professional Modifier Low / Median / High Price $132.49 / $160.22 / $229.86	Professional		$132.49	$160.22	$229.86