Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $239.02 / $239.02	Facility		$134.88	$239.02	$239.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $239.02 / $277.08	Professional		$134.88	$239.02	$277.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $310.94 / $310.94 / $330.22	Facility		$310.94	$310.94	$330.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.76 / $283.76 / $354.72	Professional		$283.76	$283.76	$354.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $264.87 / $304.47 / $304.47	Professional		$264.87	$304.47	$304.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $301.51 / $301.51	Facility		$301.51	$301.51	$301.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $220.10 / $301.51	Professional		$220.10	$220.10	$301.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.97 / $272.81 / $436.89	Professional		$190.97	$272.81	$436.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.73 / $264.83 / $443.76	Facility		$99.73	$264.83	$443.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $375.58 / $451.00 / $597.52	Professional		$375.58	$451.00	$597.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $251.60 / $378.34 / $488.37	Facility		$251.60	$378.34	$488.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $251.60 / $378.34 / $488.37	Professional		$251.60	$378.34	$488.37
United Facility/Professional Professional Modifier Low / Median / High Price $207.82 / $241.17 / $378.34	Professional		$207.82	$241.17	$378.34