Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $239.88 / $436.52	Facility		$199.53	$239.88	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $363.08	Professional		$229.09	$229.09	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $457.09 / $794.33	Facility		$223.87	$457.09	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $389.05	Professional		$234.42	$234.42	$389.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $602.56	Professional		$354.81	$398.11	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $380.19	Professional		$251.19	$363.08	$380.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $269.15 / $389.05	Facility		$257.04	$269.15	$389.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $257.04 / $380.19	Facility		$245.47	$257.04	$380.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $257.04 / $380.19	Professional		$245.47	$257.04	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $257.04 / $426.58	Facility		$245.47	$257.04	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $331.13	Professional		$257.04	$269.15	$331.13