Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $152.76 / $152.76	Facility		$145.49	$152.76	$152.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $152.76	Professional		$145.49	$145.49	$152.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $195.01	Professional		$145.49	$145.49	$195.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $183.60 / $183.60 / $183.60	Professional		$183.60	$183.60	$183.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.25 / $137.25 / $145.49	Facility		$137.25	$137.25	$145.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $145.49	Professional		$145.49	$145.49	$145.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.67 / $145.49 / $194.46	Professional		$123.67	$145.49	$194.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $152.76 / $232.65	Facility		$145.49	$152.76	$232.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $160.00 / $218.59	Professional		$145.49	$160.00	$218.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $114.40 / $134.99 / $248.59	Facility		$114.40	$134.99	$248.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $134.99 / $248.59	Professional		$114.40	$134.99	$248.59
United Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $155.24	Professional		$145.49	$145.49	$155.24