Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.92 / $257.04 / $728.88	Facility		$250.92	$257.04	$728.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.43 / $257.04 / $276.87	Professional		$237.43	$257.04	$276.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $761.63 / $962.30 / $1,256.63	Facility		$761.63	$962.30	$1,256.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.66 / $289.99 / $408.55	Professional		$224.66	$289.99	$408.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $456.77 / $677.72	Professional		$318.52	$456.77	$677.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $556.10 / $743.58 / $1,277.47	Facility		$556.10	$743.58	$1,277.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.45 / $335.12 / $609.75	Professional		$193.45	$335.12	$609.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.32 / $339.89 / $350.52	Professional		$244.32	$339.89	$350.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $250.92 / $356.05 / $484.28	Facility		$250.92	$356.05	$484.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $362.00 / $519.30	Professional		$45.00	$362.00	$519.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $41.52 / $273.83 / $578.28	Facility		$41.52	$273.83	$578.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $41.52 / $301.64 / $660.75	Professional		$41.52	$301.64	$660.75
United Facility/Professional Professional Modifier Low / Median / High Price $231.25 / $346.87 / $583.89	Professional		$231.25	$346.87	$583.89