Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.53 / $253.53 / $253.53	Facility		$253.53	$253.53	$253.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.20 / $253.53 / $342.70	Professional		$178.20	$253.53	$342.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $421.50 / $421.50 / $421.50	Facility		$421.50	$421.50	$421.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.03 / $338.03 / $338.03	Professional		$338.03	$338.03	$338.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $352.81 / $352.81 / $352.81	Professional		$352.81	$352.81	$352.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.51 / $277.51 / $371.51	Facility		$277.51	$277.51	$371.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.88 / $277.51 / $371.51	Professional		$235.88	$277.51	$371.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.83 / $351.53 / $483.66	Professional		$304.83	$351.53	$483.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.01 / $253.53 / $544.69	Facility		$173.01	$253.53	$544.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $474.94 / $474.94 / $474.94	Professional		$474.94	$474.94	$474.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.74 / $236.63 / $494.65	Facility		$28.74	$236.63	$494.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $186.29 / $474.47	Professional		$27.05	$186.29	$474.47
United Facility/Professional Professional Modifier Low / Median / High Price $211.36 / $248.24 / $370.81	Professional		$211.36	$248.24	$370.81