Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $284.93 / $566.58	Facility		$248.50	$284.93	$566.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $273.35	Professional		$248.50	$248.50	$273.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $514.40 / $812.60	Facility		$248.50	$514.40	$812.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $337.78	Professional		$248.50	$248.50	$337.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $290.69	Professional		$248.50	$248.50	$290.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.43 / $234.43 / $248.50	Facility		$234.43	$234.43	$248.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $248.50	Professional		$248.50	$248.50	$248.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.23 / $248.50 / $298.20	Professional		$211.23	$248.50	$298.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $200.87 / $260.92 / $397.60	Facility		$200.87	$260.92	$397.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.17 / $326.36 / $562.01	Professional		$234.17	$326.36	$562.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $281.32 / $372.75	Facility		$248.50	$281.32	$372.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $281.32 / $372.75	Professional		$248.50	$281.32	$372.75
United Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $263.41 / $279.52	Professional		$248.50	$263.41	$279.52