Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.60 / $273.60 / $273.60	Facility		$273.60	$273.60	$273.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.13 / $273.60 / $380.56	Professional		$226.13	$273.60	$380.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.56 / $378.56 / $378.56	Facility		$378.56	$378.56	$378.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.70 / $370.70 / $370.70	Professional		$370.70	$370.70	$370.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $382.45 / $382.45 / $382.50	Professional		$382.45	$382.45	$382.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.93 / $332.93 / $357.22	Facility		$332.93	$332.93	$357.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $332.93 / $332.93	Professional		$39.86	$332.93	$332.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.79 / $365.75 / $437.00	Professional		$304.79	$365.75	$437.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.20 / $234.15 / $418.23	Facility		$54.20	$234.15	$418.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $472.44 / $472.44 / $472.44	Professional		$472.44	$472.44	$472.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.01 / $255.36 / $518.10	Facility		$31.01	$255.36	$518.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $196.30 / $472.44	Professional		$29.18	$196.30	$472.44
United Facility/Professional Professional Modifier Low / Median / High Price $214.87 / $255.45 / $389.78	Professional		$214.87	$255.45	$389.78