Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.85 / $365.85 / $365.85	Facility		$365.85	$365.85	$365.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.72 / $365.85 / $383.12	Professional		$246.72	$365.85	$383.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $591.92 / $591.92 / $591.92	Facility		$591.92	$591.92	$591.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.33 / $321.33 / $321.33	Professional		$321.33	$321.33	$321.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $327.08 / $327.08 / $364.78	Professional		$327.08	$327.08	$364.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.50 / $292.50 / $292.50	Facility		$292.50	$292.50	$292.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.63 / $292.50 / $439.28	Professional		$248.63	$292.50	$439.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $400.22 / $453.58 / $635.01	Professional		$400.22	$453.58	$635.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.05 / $290.73 / $533.62	Facility		$162.05	$290.73	$533.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $455.20 / $455.20 / $455.20	Professional		$455.20	$455.20	$455.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $39.93 / $60.56 / $487.80	Facility		$39.93	$60.56	$487.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $69.31 / $487.80	Professional		$39.93	$69.31	$487.80
United Facility/Professional Professional Modifier Low / Median / High Price $216.06 / $290.10 / $381.91	Professional		$216.06	$290.10	$381.91