Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.10 / $293.68 / $293.68	Facility		$243.10	$293.68	$293.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.10 / $293.68 / $323.63	Professional		$243.10	$293.68	$323.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $593.98 / $593.98 / $630.80	Facility		$593.98	$593.98	$630.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.91 / $326.91 / $417.50	Professional		$326.91	$326.91	$417.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.60 / $331.60 / $406.04	Professional		$331.60	$331.60	$406.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.61 / $380.61 / $380.61	Facility		$380.61	$380.61	$380.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $277.85 / $277.85	Professional		$277.85	$277.85	$277.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $415.79 / $534.58 / $712.78	Professional		$415.79	$534.58	$712.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.87 / $360.74 / $663.69	Facility		$172.87	$360.74	$663.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $423.01 / $742.48 / $989.38	Professional		$423.01	$742.48	$989.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $325.42 / $448.27 / $742.48	Facility		$325.42	$448.27	$742.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $325.42 / $448.27 / $742.48	Professional		$325.42	$448.27	$742.48
United Facility/Professional Professional Modifier Low / Median / High Price $243.14 / $296.33 / $445.23	Professional		$243.14	$296.33	$445.23