Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $151.40 / $301.05	Facility		$131.16	$151.40	$301.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.15 / $132.47 / $137.72	Professional		$131.15	$132.47	$137.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $276.75 / $445.94	Facility		$131.16	$276.75	$445.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Professional		$131.16	$131.16	$131.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.88 / $123.90 / $186.97	Professional		$108.88	$123.90	$186.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.73 / $123.73 / $131.16	Facility		$123.73	$123.73	$131.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Professional		$131.16	$131.16	$131.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.49 / $157.38 / $392.50	Professional		$111.49	$157.38	$392.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $131.16 / $209.75	Facility		$131.16	$131.16	$209.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $124.60 / $158.69 / $372.88	Facility		$124.60	$158.69	$372.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $124.60 / $158.69 / $372.88	Professional		$124.60	$158.69	$372.88
United Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $139.03 / $170.51	Professional		$131.16	$139.03	$170.51