Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.45 / $315.45 / $315.45	Facility		$315.45	$315.45	$315.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.37 / $315.45 / $388.64	Professional		$220.37	$315.45	$388.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.58 / $375.58 / $375.58	Professional		$375.58	$375.58	$375.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $312.83 / $312.83 / $348.88	Professional		$312.83	$312.83	$348.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.77 / $172.77 / $172.77	Facility		$172.77	$172.77	$172.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $172.77 / $172.77	Professional		$37.86	$172.77	$172.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $374.20 / $424.09 / $498.93	Professional		$374.20	$424.09	$498.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.04 / $206.67 / $315.45	Facility		$51.04	$206.67	$315.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $329.00 / $329.00	Professional		$329.00	$329.00	$329.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $58.40 / $420.60	Facility		$33.65	$58.40	$420.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $58.40 / $420.60	Professional		$33.65	$58.40	$420.60
United Facility/Professional Professional Modifier Low / Median / High Price $186.22 / $230.04 / $365.14	Professional		$186.22	$230.04	$365.14