Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $243.49 / $484.18	Facility		$213.84	$243.49	$484.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $224.53 / $237.57	Professional		$213.84	$224.53	$237.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $451.20 / $727.06	Facility		$213.84	$451.20	$727.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $285.06 / $324.37 / $489.51	Professional		$285.06	$324.37	$489.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.74 / $201.74 / $213.84	Facility		$201.74	$201.74	$213.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.76 / $243.00 / $256.61	Professional		$181.76	$243.00	$256.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $213.84 / $341.96	Facility		$213.84	$213.84	$341.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $199.28 / $207.42 / $273.72	Facility		$199.28	$207.42	$273.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $199.28 / $207.42 / $273.72	Professional		$199.28	$207.42	$273.72
United Facility/Professional Professional Modifier Low / Median / High Price $210.39 / $213.84 / $243.00	Professional		$210.39	$213.84	$243.00