Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.03 / $242.03 / $242.03	Facility		$242.03	$242.03	$242.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.06 / $242.03 / $298.16	Professional		$169.06	$242.03	$298.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.20 / $288.20 / $288.20	Professional		$288.20	$288.20	$288.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.05 / $204.05 / $227.50	Professional		$204.05	$204.05	$227.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $240.50 / $324.72	Facility		$240.50	$240.50	$324.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $240.50 / $240.50	Professional		$29.06	$240.50	$240.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.14 / $325.44 / $382.87	Professional		$287.14	$325.44	$382.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $158.51 / $242.03	Facility		$39.15	$158.51	$242.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $266.50 / $266.50 / $266.50	Professional		$266.50	$266.50	$266.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $39.15 / $322.70	Facility		$25.82	$39.15	$322.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $44.82 / $322.70	Professional		$25.82	$44.82	$322.70
United Facility/Professional Professional Modifier Low / Median / High Price $151.93 / $163.30 / $281.42	Professional		$151.93	$163.30	$281.42