Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.85 / $239.02 / $239.02	Facility		$197.85	$239.02	$239.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.85 / $239.02 / $265.99	Professional		$197.85	$239.02	$265.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $483.41 / $483.41 / $513.38	Facility		$483.41	$483.41	$513.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.12 / $268.12 / $344.33	Professional		$268.12	$268.12	$344.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $269.86 / $269.86 / $330.46	Professional		$269.86	$269.86	$330.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.81 / $312.81 / $312.81	Facility		$312.81	$312.81	$312.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.35 / $228.35 / $312.81	Professional		$228.35	$228.35	$312.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.39 / $435.07 / $580.09	Professional		$338.39	$435.07	$580.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $142.53 / $293.42 / $540.10	Facility		$142.53	$293.42	$540.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $349.36 / $580.00 / $805.21	Professional		$349.36	$580.00	$805.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $264.83 / $364.82 / $604.26	Facility		$264.83	$364.82	$604.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $264.83 / $364.82 / $604.26	Professional		$264.83	$364.82	$604.26
United Facility/Professional Professional Modifier Low / Median / High Price $200.46 / $241.17 / $363.27	Professional		$200.46	$241.17	$363.27