Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.60 / $164.60 / $166.35	Facility		$164.60	$164.60	$166.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.78 / $164.60 / $200.44	Professional		$163.78	$164.60	$200.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.08 / $312.08 / $331.44	Facility		$312.08	$312.08	$331.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.68 / $185.68 / $240.68	Professional		$185.68	$185.68	$240.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $167.00 / $213.35	Professional		$167.00	$167.00	$213.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.56 / $265.56 / $265.56	Facility		$265.56	$265.56	$265.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.86 / $193.86 / $265.56	Professional		$193.86	$193.86	$265.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.46 / $280.88 / $374.51	Professional		$218.46	$280.88	$374.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.16 / $197.96 / $355.26	Facility		$99.16	$197.96	$355.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $409.94 / $519.86	Professional		$173.00	$409.94	$519.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $170.99 / $234.54 / $390.11	Facility		$170.99	$234.54	$390.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $170.99 / $234.54 / $390.11	Professional		$170.99	$234.54	$390.11
United Facility/Professional Professional Modifier Low / Median / High Price $145.03 / $155.69 / $236.69	Professional		$145.03	$155.69	$236.69