Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.79 / $441.39 / $1,139.61	Facility		$193.79	$441.39	$1,139.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.82 / $193.79 / $218.67	Professional		$170.82	$193.79	$218.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.42 / $186.42 / $248.21	Professional		$186.42	$186.42	$248.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $205.13 / $205.13 / $251.18	Professional		$205.13	$205.13	$251.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.27 / $274.27 / $274.27	Facility		$274.27	$274.27	$274.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $233.13 / $274.27	Professional		$233.13	$233.13	$274.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.20 / $330.70 / $440.93	Professional		$257.20	$330.70	$440.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.40 / $225.98 / $413.23	Facility		$99.40	$225.98	$413.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $482.64 / $612.04	Professional		$203.00	$482.64	$612.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $201.31 / $277.31 / $420.48	Facility		$201.31	$277.31	$420.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $201.31 / $277.31 / $420.48	Professional		$201.31	$277.31	$420.48
United Facility/Professional Professional Modifier Low / Median / High Price $165.68 / $183.32 / $262.99	Professional		$165.68	$183.32	$262.99