Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.86 / $146.86 / $148.41	Facility		$146.86	$146.86	$148.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.86 / $146.86 / $212.03	Professional		$146.86	$146.86	$212.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.45 / $278.45 / $295.72	Facility		$278.45	$278.45	$295.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.19 / $169.19 / $218.79	Professional		$169.19	$169.19	$218.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $149.00 / $190.35	Professional		$149.00	$149.00	$190.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.86 / $177.64 / $177.64	Facility		$148.86	$177.64	$177.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $129.68 / $177.64	Professional		$129.68	$129.68	$177.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.92 / $250.61 / $334.15	Professional		$194.92	$250.61	$334.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.69 / $176.62 / $316.98	Facility		$89.69	$176.62	$316.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $365.76 / $463.82	Professional		$157.00	$365.76	$463.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $152.57 / $209.27 / $348.08	Facility		$152.57	$209.27	$348.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $152.57 / $209.27 / $348.08	Professional		$152.57	$209.27	$348.08
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $138.91 / $214.08	Professional		$129.47	$138.91	$214.08