Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.62 / $309.62 / $309.62	Facility		$309.62	$309.62	$309.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.06 / $309.62 / $419.84	Professional		$259.06	$309.62	$419.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $514.75 / $514.75 / $514.75	Facility		$514.75	$514.75	$514.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.60 / $424.60 / $424.60	Professional		$424.60	$424.60	$424.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $318.70 / $318.70 / $344.67	Professional		$318.70	$318.70	$344.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.16 / $347.16 / $455.65	Facility		$347.16	$347.16	$455.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $347.16 / $455.65	Professional		$295.08	$347.16	$455.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.36 / $431.08 / $603.51	Professional		$380.36	$431.08	$603.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $309.62 / $578.62	Facility		$166.32	$309.62	$578.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $434.84 / $434.84 / $434.84	Professional		$434.84	$434.84	$434.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.02 / $60.02 / $452.88	Facility		$33.02	$60.02	$452.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $60.02 / $452.88	Professional		$33.02	$60.02	$452.88
United Facility/Professional Professional Modifier Low / Median / High Price $211.21 / $260.91 / $378.11	Professional		$211.21	$260.91	$378.11