Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.95 / $295.95 / $295.95	Facility		$295.95	$295.95	$295.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.91 / $295.95 / $396.32	Professional		$171.91	$295.95	$396.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.87 / $393.87 / $393.87	Professional		$393.87	$393.87	$393.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $329.00 / $353.76	Professional		$329.00	$329.00	$353.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.50 / $238.50 / $355.14	Facility		$238.50	$238.50	$355.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.73 / $238.50 / $355.14	Professional		$202.73	$238.50	$355.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.75 / $504.90 / $667.60	Professional		$420.75	$504.90	$667.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.95 / $174.83 / $334.42	Facility		$60.95	$174.83	$334.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,766.00 / $1,766.00 / $1,766.00	Professional		$1,766.00	$1,766.00	$1,766.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.57 / $50.19 / $441.65	Facility		$31.57	$50.19	$441.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $56.37 / $441.65	Professional		$31.57	$56.37	$441.65
United Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $166.58 / $269.45	Facility		$23.50	$166.58	$269.45
United Facility/Professional Professional Modifier Low / Median / High Price $160.44 / $179.18 / $302.99	Professional		$160.44	$179.18	$302.99