Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.95 / $279.95 / $279.95	Facility		$279.95	$279.95	$279.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.78 / $279.95 / $385.15	Professional		$215.78	$279.95	$385.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $465.45 / $465.45 / $465.45	Facility		$465.45	$465.45	$465.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.54 / $363.54 / $363.54	Professional		$363.54	$363.54	$363.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.92 / $416.92 / $416.92	Professional		$416.92	$416.92	$416.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.44 / $299.44 / $425.75	Facility		$299.44	$299.44	$425.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.52 / $299.44 / $400.87	Professional		$254.52	$299.44	$400.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $315.45 / $378.54 / $500.51	Professional		$315.45	$378.54	$500.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $209.50 / $279.95 / $659.54	Facility		$209.50	$279.95	$659.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $603.50 / $603.50 / $603.50	Professional		$603.50	$603.50	$603.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.73 / $261.30 / $598.94	Facility		$31.73	$261.30	$598.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $211.76 / $574.51	Professional		$31.73	$211.76	$574.51
United Facility/Professional Professional Modifier Low / Median / High Price $236.48 / $284.95 / $450.56	Professional		$236.48	$284.95	$450.56