Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.97 / $339.58 / $671.70	Facility		$310.97	$339.58	$671.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.66 / $310.97 / $310.97	Professional		$303.66	$310.97	$310.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.12 / $377.94 / $609.01	Facility		$179.12	$377.94	$609.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.68 / $292.68 / $365.85	Professional		$292.68	$292.68	$365.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $292.68 / $292.68 / $292.68	Professional		$292.68	$292.68	$292.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.97 / $310.97 / $310.97	Facility		$310.97	$310.97	$310.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $310.97 / $310.97	Professional		$310.97	$310.97	$310.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.43 / $508.91 / $598.72	Professional		$295.43	$508.91	$598.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $235.51 / $365.85 / $513.10	Facility		$235.51	$365.85	$513.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $538.95 / $608.00 / $890.66	Professional		$538.95	$608.00	$890.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $289.64 / $347.56 / $448.17	Facility		$289.64	$347.56	$448.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $289.64 / $347.56 / $448.17	Professional		$289.64	$347.56	$448.17
United Facility/Professional Professional Modifier Low / Median / High Price $304.88 / $304.88 / $365.85	Professional		$304.88	$304.88	$365.85