Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $191.29 / $191.29	Facility		$182.18	$191.29	$191.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $191.29	Professional		$182.18	$182.18	$191.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $243.17	Professional		$182.18	$182.18	$243.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.38 / $380.38 / $380.38	Professional		$380.38	$380.38	$380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.87 / $171.87 / $182.18	Facility		$171.87	$171.87	$182.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Professional		$182.18	$182.18	$182.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.85 / $182.18 / $504.87	Professional		$154.85	$182.18	$504.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $189.47 / $333.39	Facility		$182.18	$189.47	$333.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $157.16 / $257.00 / $404.74	Professional		$157.16	$257.00	$404.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $125.65 / $425.13	Facility		$104.71	$125.65	$425.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.65 / $425.13	Professional		$104.71	$125.65	$425.13
United Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $194.39	Professional		$182.18	$182.18	$194.39