Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.75 / $255.75 / $255.75	Facility		$255.75	$255.75	$255.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.07 / $255.75 / $318.39	Professional		$205.07	$255.75	$318.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.75 / $307.75 / $307.75	Professional		$307.75	$307.75	$307.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $295.07 / $295.07 / $295.20	Professional		$295.07	$295.07	$295.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.34 / $240.34 / $298.26	Facility		$240.34	$240.34	$298.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $240.34 / $247.55	Professional		$36.46	$240.34	$247.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $360.60 / $432.73 / $480.81	Professional		$360.60	$432.73	$480.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.78 / $222.76 / $418.20	Facility		$132.78	$222.76	$418.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $288.00 / $288.00	Professional		$288.00	$288.00	$288.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $27.28 / $174.20 / $375.86	Facility		$27.28	$174.20	$375.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $27.28 / $174.20 / $364.14	Professional		$27.28	$174.20	$364.14
United Facility/Professional Professional Modifier Low / Median / High Price $174.32 / $208.26 / $316.95	Professional		$174.32	$208.26	$316.95