Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $166.86 / $166.86	Facility		$158.91	$166.86	$166.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $166.86 / $166.86	Professional		$158.91	$166.86	$166.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Professional		$158.91	$158.91	$158.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $201.32 / $229.09 / $345.71	Professional		$201.32	$229.09	$345.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.91 / $149.91 / $158.91	Facility		$149.91	$149.91	$158.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Professional		$158.91	$158.91	$158.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.19 / $158.91 / $242.88	Professional		$119.19	$158.91	$242.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $166.86 / $183.55	Facility		$158.91	$166.86	$183.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.72 / $65.72 / $87.00	Professional		$65.72	$65.72	$87.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $148.10 / $158.91 / $203.42	Facility		$148.10	$158.91	$203.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $158.91 / $203.42	Professional		$148.10	$158.91	$203.42
United Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $158.91 / $168.64	Professional		$63.57	$158.91	$168.64