Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.64 / $727.23 / $1,371.71	Facility		$287.64	$727.23	$1,371.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $287.64 / $371.54	Professional		$193.00	$287.64	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $581.78 / $581.78 / $617.85	Facility		$581.78	$581.78	$617.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.59 / $352.59 / $459.82	Professional		$352.59	$352.59	$459.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $312.00 / $312.00 / $397.70	Professional		$312.00	$312.00	$397.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.92 / $378.92 / $613.97	Facility		$378.92	$378.92	$613.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.61 / $276.61 / $403.95	Professional		$276.61	$276.61	$403.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.25 / $523.60 / $698.14	Professional		$407.25	$523.60	$698.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $187.38 / $357.80 / $662.26	Facility		$187.38	$357.80	$662.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $327.00 / $727.23 / $969.06	Professional		$327.00	$727.23	$969.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $318.74 / $439.06 / $727.23	Facility		$318.74	$439.06	$727.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $318.74 / $439.06 / $727.23	Professional		$318.74	$439.06	$727.23
United Facility/Professional Professional Modifier Low / Median / High Price $262.33 / $290.24 / $437.21	Professional		$262.33	$290.24	$437.21