Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $316.23	Facility		$204.17	$204.17	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $416.87	Professional		$218.78	$316.23	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $426.58	Professional		$323.59	$323.59	$426.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $338.84 / $338.84	Professional		$40.74	$338.84	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $457.09	Professional		$275.42	$331.13	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $218.78 / $380.19	Facility		$53.70	$218.78	$380.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $288.40 / $1,778.28	Facility		$35.48	$288.40	$1,778.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $295.12 / $1,778.28	Professional		$35.48	$295.12	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $162.18 / $275.42	Facility		$21.88	$162.18	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $446.68	Professional		$190.55	$223.87	$446.68