Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.44 / $225.23 / $225.23	Facility		$186.44	$225.23	$225.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.44 / $225.23 / $278.58	Professional		$186.44	$225.23	$278.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $455.53 / $455.53 / $483.77	Facility		$455.53	$455.53	$483.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.35 / $276.35 / $354.92	Professional		$276.35	$276.35	$354.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $254.30 / $254.30 / $311.39	Professional		$254.30	$254.30	$311.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $297.02 / $297.02	Facility		$297.02	$297.02	$297.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $216.82 / $304.37	Professional		$216.82	$216.82	$304.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.87 / $409.98 / $546.64	Professional		$318.87	$409.98	$546.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $146.71 / $280.16 / $518.54	Facility		$146.71	$280.16	$518.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $569.41 / $758.77	Professional		$290.00	$569.41	$758.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $249.57 / $344.80 / $570.40	Facility		$249.57	$344.80	$570.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $249.57 / $344.80 / $570.40	Professional		$249.57	$344.80	$570.40
United Facility/Professional Professional Modifier Low / Median / High Price $205.40 / $227.26 / $342.33	Professional		$205.40	$227.26	$342.33