Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.48 / $304.48 / $308.24	Facility		$304.48	$304.48	$308.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $296.66 / $334.49	Professional		$127.50	$296.66	$334.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.07 / $247.57 / $337.90	Professional		$178.07	$247.57	$337.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $301.50 / $335.00 / $615.05	Professional		$301.50	$335.00	$615.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.38 / $436.83 / $638.35	Facility		$353.38	$436.83	$638.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.02 / $403.65 / $682.95	Professional		$290.02	$403.65	$682.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.24 / $352.80 / $441.00	Professional		$282.24	$352.80	$441.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $212.65 / $326.14 / $493.18	Facility		$212.65	$326.14	$493.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $296.27 / $543.91	Professional		$173.00	$296.27	$543.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $82.96 / $214.27 / $495.33	Facility		$82.96	$214.27	$495.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $297.92 / $603.16	Professional		$79.09	$297.92	$603.16
United Facility/Professional Professional Modifier Low / Median / High Price $214.75 / $314.95 / $507.47	Professional		$214.75	$314.95	$507.47