Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.61 / $255.79 / $554.38	Facility		$243.61	$255.79	$554.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $250.92 / $255.79	Professional		$243.61	$250.92	$255.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.61 / $514.02 / $828.27	Facility		$243.61	$514.02	$828.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $243.61	Professional		$243.61	$243.61	$243.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $227.76 / $235.95 / $536.29	Professional		$227.76	$235.95	$536.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.82 / $229.82 / $243.61	Facility		$229.82	$229.82	$243.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $243.61	Professional		$243.61	$243.61	$243.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.71 / $238.54 / $280.63	Professional		$182.71	$238.54	$280.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $243.61 / $255.79 / $275.27	Facility		$243.61	$255.79	$275.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $255.79 / $336.76	Professional		$26.00	$255.79	$336.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $227.02 / $238.54 / $294.77	Facility		$227.02	$238.54	$294.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $227.02 / $238.54 / $294.77	Professional		$227.02	$238.54	$294.77
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $243.61 / $258.47	Professional		$97.44	$243.61	$258.47