Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $257.99 / $459.22	Facility		$257.99	$257.99	$459.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $257.99 / $459.22	Professional		$257.99	$257.99	$459.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $544.36 / $877.17	Facility		$257.99	$544.36	$877.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.19 / $232.19 / $232.19	Professional		$232.19	$232.19	$232.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $352.92 / $401.59 / $606.04	Professional		$352.92	$401.59	$606.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Facility		$253.60	$253.60	$253.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Professional		$253.60	$253.60	$253.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.29 / $309.58 / $375.92	Professional		$219.29	$309.58	$375.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $257.99 / $386.95	Facility		$257.99	$257.99	$386.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $172.00 / $172.00	Professional		$172.00	$172.00	$172.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $242.66 / $257.99 / $333.30	Facility		$242.66	$257.99	$333.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $242.66 / $257.99 / $333.30	Professional		$242.66	$257.99	$333.30
United Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $271.57 / $309.58	Professional		$257.99	$271.57	$309.58