Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.64 / $283.19 / $515.07	Facility		$238.64	$283.19	$515.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $274.79	Professional		$227.28	$227.28	$274.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.28 / $470.47 / $743.21	Facility		$227.28	$470.47	$743.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $304.64	Professional		$227.28	$227.28	$304.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $227.11 / $227.11 / $227.27	Professional		$227.11	$227.11	$227.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.41 / $214.41 / $227.28	Facility		$214.41	$214.41	$227.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $227.28	Professional		$227.28	$227.28	$227.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.19 / $227.28 / $291.48	Professional		$193.19	$227.28	$291.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.82 / $251.67 / $363.65	Facility		$137.82	$251.67	$363.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $280.00 / $364.00	Professional		$195.00	$280.00	$364.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $227.28 / $272.74 / $340.92	Facility		$227.28	$272.74	$340.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $272.74 / $340.92	Professional		$227.28	$272.74	$340.92
United Facility/Professional Facility Modifier Low / Median / High Price $221.71 / $270.49 / $587.53	Facility		$221.71	$270.49	$587.53
United Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $240.92 / $260.60	Professional		$227.28	$240.92	$260.60