Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $281.84 / $398.11	Professional		$245.47	$281.84	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $457.09	Professional		$363.08	$363.08	$457.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $426.58	Facility		$302.00	$302.00	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $398.11	Professional		$257.04	$302.00	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $363.08 / $512.86	Professional		$323.59	$363.08	$512.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $281.84 / $676.08	Facility		$208.93	$281.84	$676.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $263.03 / $602.56	Facility		$31.62	$263.03	$602.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $213.80 / $575.44	Professional		$31.62	$213.80	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $204.17 / $316.23	Facility		$25.12	$204.17	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $457.09	Professional		$239.88	$281.84	$457.09