Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.33 / $410.33 / $410.33	Facility		$410.33	$410.33	$410.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.57 / $410.33 / $453.44	Professional		$286.57	$410.33	$453.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.42 / $360.42 / $360.42	Professional		$360.42	$360.42	$360.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $406.91 / $406.91 / $453.81	Professional		$406.91	$406.91	$453.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.81 / $407.81 / $407.81	Facility		$407.81	$407.81	$407.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $407.81 / $407.81	Professional		$49.27	$407.81	$407.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $486.69 / $551.58 / $648.91	Professional		$486.69	$551.58	$648.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $268.83 / $410.33	Facility		$66.39	$268.83	$410.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.48 / $338.48 / $338.48	Professional		$338.48	$338.48	$338.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.77 / $66.39 / $547.10	Facility		$43.77	$66.39	$547.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $43.77 / $75.97 / $547.10	Professional		$43.77	$75.97	$547.10
United Facility/Professional Professional Modifier Low / Median / High Price $195.08 / $276.82 / $409.72	Professional		$195.08	$276.82	$409.72