Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.83 / $334.43 / $334.43	Facility		$276.83	$334.43	$334.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.83 / $334.43 / $387.62	Professional		$276.83	$334.43	$387.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.39 / $676.39 / $718.33	Facility		$676.39	$676.39	$718.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.47 / $392.47 / $490.62	Professional		$392.47	$392.47	$490.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $449.98 / $449.98 / $462.38	Professional		$449.98	$449.98	$462.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.50 / $437.50 / $437.50	Facility		$437.50	$437.50	$437.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $437.50	Professional		$319.38	$319.38	$437.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.47 / $608.75 / $811.67	Professional		$473.47	$608.75	$811.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $334.43 / $453.43 / $696.74	Facility		$334.43	$453.43	$696.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $538.92 / $845.49 / $1,126.65	Professional		$538.92	$845.49	$1,126.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $390.17 / $529.39 / $767.69	Facility		$390.17	$529.39	$767.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $390.17 / $529.39 / $767.69	Professional		$390.17	$529.39	$767.69
United Facility/Professional Professional Modifier Low / Median / High Price $306.10 / $337.45 / $529.39	Professional		$306.10	$337.45	$529.39