Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $264.02 / $524.99	Facility		$230.15	$264.02	$524.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $241.66 / $241.66	Professional		$230.15	$241.66	$241.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $485.62 / $782.51	Facility		$230.15	$485.62	$782.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $304.95 / $347.01 / $523.66	Professional		$304.95	$347.01	$523.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.13 / $217.13 / $230.15	Facility		$217.13	$217.13	$230.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.63 / $268.01 / $276.18	Professional		$195.63	$268.01	$276.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.33 / $231.67 / $329.62	Facility		$131.33	$231.67	$329.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $166.00 / $166.00	Professional		$166.00	$166.00	$166.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $214.92 / $228.07 / $294.58	Facility		$214.92	$228.07	$294.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $214.92 / $228.07 / $294.58	Professional		$214.92	$228.07	$294.58
United Facility/Professional Facility Modifier Low / Median / High Price $846.79 / $846.79 / $846.79	Facility		$846.79	$846.79	$846.79
United Facility/Professional Professional Modifier Low / Median / High Price $223.25 / $230.15 / $268.01	Professional		$223.25	$230.15	$268.01