Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.92 / $287.92 / $287.92	Facility		$287.92	$287.92	$287.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.96 / $287.92 / $367.41	Professional		$235.96	$287.92	$367.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.68 / $478.68 / $478.68	Facility		$478.68	$478.68	$478.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.92 / $373.92 / $373.92	Professional		$373.92	$373.92	$373.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $320.32 / $320.32 / $325.32	Professional		$320.32	$320.32	$325.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $335.76	Facility		$333.25	$333.25	$335.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $333.25 / $411.66	Professional		$283.26	$333.25	$411.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.31 / $406.88 / $542.63	Professional		$345.31	$406.88	$542.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $287.92 / $348.56 / $507.91	Facility		$287.92	$348.56	$507.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $381.33 / $381.33 / $381.33	Professional		$381.33	$381.33	$381.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.71 / $250.45 / $418.56	Facility		$30.71	$250.45	$418.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $200.04 / $417.23	Professional		$30.71	$200.04	$417.23
United Facility/Professional Professional Modifier Low / Median / High Price $225.64 / $243.71 / $385.09	Professional		$225.64	$243.71	$385.09