Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.24 / $413.48 / $413.48	Facility		$279.24	$413.48	$413.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.24 / $413.48 / $567.12	Professional		$279.24	$413.48	$567.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.20 / $469.20 / $469.20	Professional		$469.20	$469.20	$469.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $459.41 / $459.41 / $515.04	Professional		$459.41	$459.41	$515.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $429.00 / $429.00	Facility		$429.00	$429.00	$429.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $429.00 / $429.00	Professional		$54.03	$429.00	$429.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.16 / $690.21 / $912.61	Professional		$575.16	$690.21	$912.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.73 / $294.47 / $467.23	Facility		$68.73	$294.47	$467.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $532.28 / $532.28 / $532.28	Professional		$532.28	$532.28	$532.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.89 / $261.79 / $730.93	Facility		$46.89	$261.79	$730.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $46.86 / $291.00 / $741.00	Professional		$46.86	$291.00	$741.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.25 / $307.00 / $464.85	Professional		$256.25	$307.00	$464.85