Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.58 / $323.58 / $323.58	Facility		$323.58	$323.58	$323.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.73 / $323.58 / $436.03	Professional		$186.73	$323.58	$436.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.96 / $537.96 / $537.96	Facility		$537.96	$537.96	$537.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.29 / $426.29 / $426.29	Professional		$426.29	$426.29	$426.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $402.88 / $402.88 / $402.88	Professional		$402.88	$402.88	$402.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.55 / $353.55 / $464.03	Facility		$353.55	$353.55	$464.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.52 / $353.55 / $464.03	Professional		$300.52	$353.55	$464.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.15 / $423.77 / $560.32	Professional		$353.15	$423.77	$560.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.30 / $280.73 / $662.23	Facility		$181.30	$280.73	$662.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $497.70 / $497.70 / $497.70	Professional		$497.70	$497.70	$497.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $64.38 / $511.90	Facility		$35.54	$64.38	$511.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $64.38 / $511.90	Professional		$34.52	$64.38	$511.90
United Facility/Professional Professional Modifier Low / Median / High Price $241.73 / $298.61 / $422.47	Professional		$241.73	$298.61	$422.47