Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.23 / $230.23 / $230.23	Facility		$230.23	$230.23	$230.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.99 / $230.23 / $308.42	Professional		$146.99	$230.23	$308.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.76 / $382.76 / $382.76	Facility		$382.76	$382.76	$382.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.14 / $292.14 / $292.14	Professional		$292.14	$292.14	$292.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $317.14 / $317.14 / $317.14	Professional		$317.14	$317.14	$317.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.42 / $243.42 / $345.92	Facility		$243.42	$243.42	$345.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.91 / $243.42 / $325.88	Professional		$206.91	$243.42	$325.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.66 / $288.79 / $381.85	Professional		$240.66	$288.79	$381.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $142.71 / $227.00 / $521.30	Facility		$142.71	$227.00	$521.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $336.00 / $336.00	Professional		$336.00	$336.00	$336.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $50.50 / $391.76	Facility		$26.10	$50.50	$391.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $50.50 / $391.76	Professional		$25.70	$50.50	$391.76
United Facility/Professional Professional Modifier Low / Median / High Price $182.68 / $228.11 / $317.14	Professional		$182.68	$228.11	$317.14