Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $302.00	Professional		$190.55	$229.09	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $323.59	Professional		$295.12	$295.12	$323.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $331.13	Facility		$269.15	$269.15	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $331.13	Professional		$229.09	$269.15	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $446.68	Professional		$281.84	$338.84	$446.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $281.84 / $407.38	Facility		$229.09	$281.84	$407.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $199.53 / $363.08	Facility		$26.30	$199.53	$363.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $158.49 / $346.74	Professional		$24.55	$158.49	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $134.90 / $245.47	Facility		$16.60	$134.90	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $309.03	Professional		$177.83	$194.98	$309.03