Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.35 / $184.35 / $186.31	Facility		$184.35	$184.35	$186.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.25 / $184.35 / $192.14	Professional		$170.25	$184.35	$192.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $349.53 / $349.53 / $371.20	Facility		$349.53	$349.53	$371.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.45 / $195.45 / $248.91	Professional		$195.45	$195.45	$248.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.01 / $187.01 / $238.94	Professional		$187.01	$187.01	$238.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.66 / $231.66 / $231.66	Facility		$231.66	$231.66	$231.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $169.11 / $231.66	Professional		$169.11	$169.11	$231.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.67 / $314.58 / $419.44	Professional		$244.67	$314.58	$419.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.04 / $214.97 / $390.55	Facility		$103.04	$214.97	$390.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.50 / $459.11 / $582.21	Professional		$263.50	$459.11	$582.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $191.50 / $268.70 / $446.54	Facility		$191.50	$268.70	$446.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $191.50 / $268.70 / $446.54	Professional		$191.50	$268.70	$446.54
United Facility/Professional Professional Modifier Low / Median / High Price $157.60 / $174.38 / $253.13	Professional		$157.60	$174.38	$253.13