Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.02 / $317.02 / $317.02	Facility		$317.02	$317.02	$317.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.38 / $317.02 / $482.32	Professional		$214.38	$317.02	$482.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.23 / $390.23 / $390.23	Professional		$390.23	$390.23	$390.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $422.80 / $422.80 / $549.64	Professional		$422.80	$422.80	$549.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.00 / $329.00 / $426.20	Facility		$329.00	$329.00	$426.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $279.64 / $329.00	Professional		$41.42	$279.64	$329.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.04 / $390.04 / $515.72	Professional		$325.04	$390.04	$515.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.71 / $313.02 / $401.06	Facility		$52.71	$313.02	$401.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $497.94 / $497.94 / $497.94	Professional		$497.94	$497.94	$497.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $102.29 / $816.24	Facility		$35.40	$102.29	$816.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $110.74 / $816.24	Professional		$35.40	$110.74	$816.24
United Facility/Professional Professional Modifier Low / Median / High Price $205.75 / $255.14 / $388.02	Professional		$205.75	$255.14	$388.02