Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.02 / $157.02 / $158.69	Facility		$157.02	$157.02	$158.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.02 / $157.02 / $163.66	Professional		$145.02	$157.02	$163.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.74 / $297.74 / $316.20	Facility		$297.74	$297.74	$316.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.70 / $164.70 / $212.03	Professional		$164.70	$164.70	$212.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $198.94 / $198.94 / $203.53	Professional		$198.94	$198.94	$203.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $170.29 / $170.29	Facility		$170.29	$170.29	$170.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $144.75 / $170.29	Professional		$144.75	$144.75	$170.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.42 / $253.08 / $357.29	Professional		$208.42	$253.08	$357.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.77 / $183.10 / $334.06	Facility		$87.77	$183.10	$334.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $391.08 / $495.93	Professional		$172.00	$391.08	$495.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $163.11 / $225.36 / $372.82	Facility		$163.11	$225.36	$372.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $163.11 / $225.36 / $372.82	Professional		$163.11	$225.36	$372.82
United Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $148.54 / $213.09	Professional		$135.94	$148.54	$213.09