Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $275.42 / $707.95	Facility		$229.09	$275.42	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $524.81	Professional		$239.88	$302.00	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $602.56	Facility		$562.34	$562.34	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $724.44	Professional		$346.74	$346.74	$724.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $389.05	Professional		$302.00	$302.00	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $371.54 / $371.54	Facility		$245.47	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $371.54	Professional		$269.15	$269.15	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $794.33	Professional		$398.11	$562.34	$794.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $562.34	Professional		$288.40	$371.54	$562.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $398.11 / $758.58	Facility		$229.09	$398.11	$758.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $707.95	Professional		$302.00	$323.59	$707.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $467.74 / $1,288.25	Facility		$302.00	$467.74	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $1,288.25	Professional		$302.00	$467.74	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $275.42 / $758.58	Facility		$190.55	$275.42	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $275.42 / $446.68	Professional		$257.04	$275.42	$446.68