Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.84 / $287.32 / $287.32	Facility		$237.84	$287.32	$287.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.84 / $287.32 / $312.22	Professional		$237.84	$287.32	$312.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $581.11 / $581.11 / $617.14	Facility		$581.11	$581.11	$617.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.12 / $316.12 / $411.51	Professional		$316.12	$316.12	$411.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $312.00 / $312.00 / $397.24	Professional		$312.00	$312.00	$397.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.04 / $379.04 / $379.04	Facility		$379.04	$379.04	$379.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $276.70 / $379.04	Professional		$276.70	$276.70	$379.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.78 / $523.00 / $697.33	Professional		$406.78	$523.00	$697.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $167.43 / $357.40 / $649.32	Facility		$167.43	$357.40	$649.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $726.39 / $967.94	Professional		$292.00	$726.39	$967.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $318.37 / $438.56 / $726.39	Facility		$318.37	$438.56	$726.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $318.37 / $438.56 / $726.39	Professional		$318.37	$438.56	$726.39
United Facility/Professional Facility Modifier Low / Median / High Price $259.82 / $259.82 / $259.82	Facility		$259.82	$259.82	$259.82
United Facility/Professional Professional Modifier Low / Median / High Price $235.48 / $289.91 / $435.59	Professional		$235.48	$289.91	$435.59