Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.25 / $274.20 / $723.75	Facility		$194.25	$274.20	$723.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $261.14 / $536.76	Professional		$261.14	$261.14	$536.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $551.03 / $887.91	Facility		$261.14	$551.03	$887.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.78 / $233.78 / $233.78	Professional		$233.78	$233.78	$233.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $346.85 / $394.70 / $595.63	Professional		$346.85	$394.70	$595.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.49 / $269.49 / $269.49	Facility		$269.49	$269.49	$269.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.49 / $269.49 / $269.49	Professional		$269.49	$269.49	$269.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.98 / $288.60 / $313.38	Professional		$221.98	$288.60	$313.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $261.14 / $397.73	Facility		$261.14	$261.14	$397.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $257.87 / $263.29 / $354.19	Facility		$257.87	$263.29	$354.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $257.87 / $263.29 / $354.19	Professional		$257.87	$263.29	$354.19
United Facility/Professional Professional Modifier Low / Median / High Price $240.62 / $288.60 / $303.02	Professional		$240.62	$288.60	$303.02