Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.55 / $227.55 / $227.55	Facility		$227.55	$227.55	$227.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $227.55 / $304.70	Professional		$161.62	$227.55	$304.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.31 / $378.31 / $378.31	Facility		$378.31	$378.31	$378.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $295.08 / $295.08	Professional		$295.08	$295.08	$295.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $329.58 / $329.58 / $329.58	Professional		$329.58	$329.58	$329.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.78 / $243.78 / $327.93	Facility		$243.78	$243.78	$327.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.21 / $243.78 / $326.36	Professional		$207.21	$243.78	$326.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.00 / $303.60 / $401.42	Professional		$253.00	$303.60	$401.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $227.55 / $508.84	Facility		$161.62	$227.55	$508.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $443.67 / $443.67 / $443.67	Professional		$443.67	$443.67	$443.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.79 / $212.38 / $462.08	Facility		$25.79	$212.38	$462.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $169.28 / $443.23	Professional		$24.27	$169.28	$443.23
United Facility/Professional Professional Modifier Low / Median / High Price $187.15 / $224.27 / $348.42	Professional		$187.15	$224.27	$348.42