Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.27 / $322.27 / $322.27	Facility		$322.27	$322.27	$322.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.54 / $322.27 / $451.55	Professional		$273.54	$322.27	$451.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $535.80 / $535.80 / $535.80	Facility		$535.80	$535.80	$535.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.28 / $437.28 / $437.28	Professional		$437.28	$437.28	$437.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $424.27 / $424.27 / $424.27	Professional		$424.27	$424.27	$424.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.71 / $358.71 / $432.14	Facility		$358.71	$358.71	$432.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.89 / $358.71 / $470.81	Professional		$304.89	$358.71	$470.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $391.87 / $444.12 / $621.76	Professional		$391.87	$444.12	$621.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.05 / $300.64 / $655.04	Facility		$208.05	$300.64	$655.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $571.13 / $571.13 / $571.13	Professional		$571.13	$571.13	$571.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $36.52 / $300.80 / $594.80	Facility		$36.52	$300.80	$594.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $232.92 / $570.55	Professional		$36.52	$232.92	$570.55
United Facility/Professional Facility Modifier Low / Median / High Price $29.31 / $236.67 / $391.30	Facility		$29.31	$236.67	$391.30
United Facility/Professional Professional Modifier Low / Median / High Price $264.25 / $308.74 / $463.60	Professional		$264.25	$308.74	$463.60