Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.46 / $250.38 / $395.90	Facility		$238.46	$250.38	$395.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $250.38	Professional		$238.46	$238.46	$250.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.46 / $493.61 / $779.76	Facility		$238.46	$493.61	$779.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $320.20	Professional		$238.46	$238.46	$320.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.64 / $173.64 / $238.46	Professional		$173.64	$173.64	$238.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.96 / $224.96 / $238.46	Facility		$224.96	$224.96	$238.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $238.46	Professional		$238.46	$238.46	$238.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.69 / $238.46 / $1,457.65	Professional		$202.69	$238.46	$1,457.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.87 / $250.38 / $1,533.78	Facility		$176.87	$250.38	$1,533.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $230.75 / $651.53 / $9,364.00	Professional		$230.75	$651.53	$9,364.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $238.46 / $286.14 / $900.00	Facility		$238.46	$286.14	$900.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $286.14 / $900.00	Professional		$238.46	$286.14	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $252.77 / $281.63	Professional		$238.46	$252.77	$281.63