Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.14 / $189.14 / $191.16	Facility		$189.14	$189.14	$191.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.65 / $189.14 / $191.16	Professional		$136.65	$189.14	$191.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $358.64 / $358.64 / $380.88	Facility		$358.64	$358.64	$380.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.74 / $166.74 / $214.03	Professional		$166.74	$166.74	$214.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $200.98 / $245.16	Professional		$192.00	$200.98	$245.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $170.54	Facility		$170.54	$170.54	$170.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $124.49 / $170.54	Professional		$124.49	$124.49	$170.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.05 / $322.77 / $430.37	Professional		$251.05	$322.77	$430.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $216.01 / $402.39	Facility		$87.90	$216.01	$402.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $471.06 / $597.36	Professional		$161.00	$471.06	$597.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $196.48 / $270.66 / $448.30	Facility		$196.48	$270.66	$448.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $196.48 / $270.66 / $448.30	Professional		$196.48	$270.66	$448.30
United Facility/Professional Professional Modifier Low / Median / High Price $147.63 / $178.91 / $269.51	Professional		$147.63	$178.91	$269.51