Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.37 / $158.37 / $160.06	Facility		$158.37	$158.37	$160.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.94 / $158.37 / $160.06	Professional		$128.94	$158.37	$160.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.29 / $300.29 / $318.91	Facility		$300.29	$300.29	$318.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.77 / $180.77 / $225.98	Professional		$180.77	$180.77	$225.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $168.28 / $205.28	Professional		$161.00	$168.28	$205.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $170.64 / $170.64	Facility		$108.00	$170.64	$170.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $124.57 / $170.64	Professional		$124.57	$124.57	$170.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.20 / $270.26 / $360.35	Professional		$210.20	$270.26	$360.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $184.67 / $336.91	Facility		$77.55	$184.67	$336.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $394.43 / $500.19	Professional		$154.00	$394.43	$500.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $164.51 / $225.66 / $375.36	Facility		$164.51	$225.66	$375.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $164.51 / $225.66 / $375.36	Professional		$164.51	$225.66	$375.36
United Facility/Professional Professional Modifier Low / Median / High Price $134.83 / $149.81 / $215.96	Professional		$134.83	$149.81	$215.96