Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.14 / $255.28 / $399.58	Facility		$82.14	$255.28	$399.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.30 / $272.70 / $272.70	Professional		$266.30	$272.70	$272.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.67 / $256.67 / $315.60	Professional		$256.67	$256.67	$315.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $256.67 / $256.67 / $256.67	Professional		$256.67	$256.67	$256.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Facility		$272.70	$272.70	$272.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Professional		$272.70	$272.70	$272.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.08 / $304.80 / $676.26	Professional		$259.08	$304.80	$676.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $320.83 / $449.97	Facility		$272.70	$320.83	$449.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $413.15 / $433.00 / $851.38	Professional		$413.15	$433.00	$851.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $254.00 / $304.80 / $393.03	Facility		$254.00	$304.80	$393.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $304.80 / $393.03	Professional		$254.00	$304.80	$393.03
United Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $335.55	Professional		$267.37	$267.37	$335.55