Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.88 / $292.88 / $292.88	Facility		$292.88	$292.88	$292.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.04 / $292.88 / $411.68	Professional		$233.04	$292.88	$411.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.98 / $429.98 / $429.98	Facility		$429.98	$429.98	$429.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.98 / $392.98 / $392.98	Professional		$392.98	$392.98	$392.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $439.08 / $439.08 / $439.20	Professional		$439.08	$439.08	$439.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.62 / $327.62 / $327.62	Facility		$327.62	$327.62	$327.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.42 / $327.62 / $327.62	Professional		$42.42	$327.62	$327.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.35 / $364.02 / $481.31	Professional		$303.35	$364.02	$481.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.20 / $233.04 / $480.16	Facility		$62.20	$233.04	$480.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $542.40 / $542.40 / $542.40	Professional		$542.40	$542.40	$542.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $273.35 / $564.89	Facility		$33.19	$273.35	$564.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $214.45 / $541.86	Professional		$31.24	$214.45	$541.86
United Facility/Professional Professional Modifier Low / Median / High Price $223.66 / $277.35 / $423.59	Professional		$223.66	$277.35	$423.59