Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.45 / $309.45 / $309.45	Facility		$309.45	$309.45	$309.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.52 / $309.45 / $381.25	Professional		$245.52	$309.45	$381.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.68 / $500.68 / $500.68	Facility		$500.68	$500.68	$500.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.60 / $368.60 / $368.60	Professional		$368.60	$368.60	$368.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $306.89 / $306.89 / $342.27	Professional		$306.89	$306.89	$342.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $488.47	Facility		$307.55	$307.55	$488.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.42 / $261.42 / $353.87	Professional		$261.42	$261.42	$353.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.48 / $425.58 / $550.75	Professional		$350.48	$425.58	$550.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.07 / $272.77 / $500.68	Facility		$137.07	$272.77	$500.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $283.00 / $283.00 / $283.00	Professional		$283.00	$283.00	$283.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.42 / $57.32 / $412.61	Facility		$31.42	$57.32	$412.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $57.32 / $412.61	Professional		$31.42	$57.32	$412.61
United Facility/Professional Professional Modifier Low / Median / High Price $182.77 / $247.71 / $300.41	Professional		$182.77	$247.71	$300.41