Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.43 / $187.43 / $534.21	Facility		$187.43	$187.43	$534.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $187.43 / $188.71	Professional		$175.05	$187.43	$188.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $582.58 / $736.08 / $961.22	Facility		$582.58	$736.08	$961.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.76 / $221.13 / $311.52	Professional		$173.76	$221.13	$311.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $198.40 / $513.24 / $775.94	Professional		$198.40	$513.24	$775.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.32 / $495.58 / $832.92	Facility		$364.32	$495.58	$832.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.29 / $270.75 / $441.07	Professional		$148.29	$270.75	$441.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.43 / $259.39 / $268.87	Professional		$187.43	$259.39	$268.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $187.43 / $271.37 / $365.48	Facility		$187.43	$271.37	$365.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $227.00 / $337.00	Professional		$57.00	$227.00	$337.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $49.19 / $192.12 / $455.82	Facility		$49.19	$192.12	$455.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $217.23 / $513.53	Professional		$54.94	$217.23	$513.53
United Facility/Professional Professional Modifier Low / Median / High Price $158.06 / $273.44 / $448.16	Professional		$158.06	$273.44	$448.16