Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $351.77 / $699.50	Facility		$308.68	$351.77	$699.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $324.12 / $324.12	Professional		$308.68	$324.12	$324.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $651.30 / $1,049.51	Facility		$308.68	$651.30	$1,049.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Professional		$308.68	$308.68	$308.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $394.69 / $449.13 / $677.78	Professional		$394.69	$449.13	$677.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.20 / $291.20 / $308.68	Facility		$291.20	$291.20	$308.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Professional		$308.68	$308.68	$308.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.38 / $361.68 / $370.42	Professional		$262.38	$361.68	$370.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $308.68 / $433.89	Facility		$308.68	$308.68	$433.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $289.70 / $307.43 / $395.11	Facility		$289.70	$307.43	$395.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $289.70 / $307.43 / $395.11	Professional		$289.70	$307.43	$395.11
United Facility/Professional Professional Modifier Low / Median / High Price $299.42 / $308.68 / $361.68	Professional		$299.42	$308.68	$361.68