Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.63 / $239.63 / $239.63	Facility		$239.63	$239.63	$239.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.60 / $239.63 / $295.23	Professional		$161.60	$239.63	$295.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $387.73 / $387.73 / $387.73	Facility		$387.73	$387.73	$387.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.49 / $210.49 / $210.49	Professional		$210.49	$210.49	$210.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $237.65 / $237.65 / $265.05	Professional		$237.65	$237.65	$265.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.16 / $238.16 / $378.27	Facility		$238.16	$238.16	$378.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.44 / $238.16 / $287.73	Professional		$202.44	$238.16	$287.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.41 / $329.57 / $426.50	Professional		$271.41	$329.57	$426.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.15 / $211.24 / $387.73	Facility		$106.15	$211.24	$387.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Professional		$250.00	$250.00	$250.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $44.38 / $319.51	Facility		$25.57	$44.38	$319.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $161.52 / $319.51	Professional		$25.57	$161.52	$319.51
United Facility/Professional Professional Modifier Low / Median / High Price $160.99 / $191.82 / $277.50	Professional		$160.99	$191.82	$277.50