Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.18 / $224.18 / $224.18	Facility		$224.18	$224.18	$224.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.85 / $224.18 / $302.85	Professional		$154.85	$224.18	$302.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.69 / $372.69 / $372.69	Facility		$372.69	$372.69	$372.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.26 / $296.26 / $296.26	Professional		$296.26	$296.26	$296.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $306.57 / $306.57 / $306.57	Professional		$306.57	$306.57	$306.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.17 / $243.17 / $319.16	Facility		$243.17	$243.17	$319.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.69 / $243.17 / $319.16	Professional		$206.69	$243.17	$319.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.82 / $306.70 / $412.24	Professional		$259.82	$306.70	$412.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $150.34 / $204.65 / $473.32	Facility		$150.34	$204.65	$473.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $412.69 / $412.69 / $412.69	Professional		$412.69	$412.69	$412.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.41 / $209.23 / $429.81	Facility		$25.41	$209.23	$429.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $163.86 / $412.28	Professional		$25.41	$163.86	$412.28
United Facility/Professional Professional Modifier Low / Median / High Price $185.44 / $216.57 / $337.24	Professional		$185.44	$216.57	$337.24