Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.74 / $449.63 / $868.90	Facility		$288.74	$449.63	$868.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.89 / $312.89 / $626.39	Professional		$312.89	$312.89	$626.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.89 / $660.22 / $1,063.85	Facility		$312.89	$660.22	$1,063.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.08 / $280.08 / $280.08	Professional		$280.08	$280.08	$280.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $407.70 / $463.93 / $700.11	Professional		$407.70	$463.93	$700.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Facility		$307.55	$307.55	$307.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.97 / $334.54 / $375.48	Professional		$265.97	$334.54	$375.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $312.89 / $312.89 / $476.55	Facility		$312.89	$312.89	$476.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $312.89 / $404.21	Facility		$294.27	$312.89	$404.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $294.27 / $312.89 / $404.21	Professional		$294.27	$312.89	$404.21
United Facility/Professional Professional Modifier Low / Median / High Price $274.60 / $334.54 / $350.63	Professional		$274.60	$334.54	$350.63