Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $158.72 / $653.84	Facility		$151.16	$158.72	$653.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $158.72	Professional		$151.16	$151.16	$158.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $202.62	Professional		$151.16	$151.16	$202.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $98.29 / $98.29 / $211.57	Professional		$98.29	$98.29	$211.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.61 / $142.61 / $151.16	Facility		$142.61	$142.61	$151.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $151.16	Professional		$151.16	$151.16	$151.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $151.16 / $344.56	Professional		$128.49	$151.16	$344.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $158.72 / $288.27	Facility		$151.16	$158.72	$288.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.60 / $268.56 / $363.84	Professional		$151.60	$268.56	$363.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $151.47 / $171.98 / $333.56	Facility		$151.47	$171.98	$333.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $151.47 / $171.98 / $333.56	Professional		$151.47	$171.98	$333.56
United Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $166.24	Professional		$151.16	$151.16	$166.24