Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $252.68 / $252.68	Facility		$252.68	$252.68	$252.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.19 / $252.68 / $354.52	Professional		$227.19	$252.68	$354.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.97 / $446.97 / $446.97	Facility		$446.97	$446.97	$446.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.47 / $345.47 / $345.47	Professional		$345.47	$345.47	$345.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $326.88 / $326.88 / $326.88	Professional		$326.88	$326.88	$326.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $330.36	Facility		$229.50	$229.50	$330.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.08 / $229.50 / $393.05	Professional		$195.08	$229.50	$393.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.58 / $371.27 / $519.78	Professional		$327.58	$371.27	$519.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $160.30 / $245.50 / $504.67	Facility		$160.30	$245.50	$504.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $377.00 / $377.00 / $377.00	Professional		$377.00	$377.00	$377.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.64 / $235.84 / $453.74	Facility		$28.64	$235.84	$453.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $189.96 / $440.03	Professional		$28.64	$189.96	$440.03
United Facility/Professional Professional Modifier Low / Median / High Price $213.73 / $245.86 / $363.90	Professional		$213.73	$245.86	$363.90