Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.77 / $275.91 / $429.12	Professional		$220.77	$275.91	$429.12
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $110.39 / $137.13 / $165.60	Professional	52	$110.39	$137.13	$165.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.28 / $332.45 / $497.25	Professional		$231.28	$332.45	$497.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $302.70 / $336.33 / $620.53	Professional		$302.70	$336.33	$620.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.08 / $333.08 / $333.08	Facility		$333.08	$333.08	$333.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.27 / $308.14 / $548.36	Professional		$237.27	$308.14	$548.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.69 / $322.91 / $415.57	Professional		$267.69	$322.91	$415.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $294.33 / $447.59	Facility		$240.50	$294.33	$447.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $293.00 / $337.62 / $507.80	Professional		$293.00	$337.62	$507.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $249.37 / $299.11 / $499.76	Facility		$249.37	$299.11	$499.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $249.37 / $299.11 / $499.76	Professional		$249.37	$299.11	$499.76
United Facility/Professional Professional Modifier Low / Median / High Price $182.02 / $259.68 / $411.70	Professional		$182.02	$259.68	$411.70