Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.22 / $204.43 / $204.43	Facility		$169.22	$204.43	$204.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.22 / $204.43 / $261.29	Professional		$169.22	$204.43	$261.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $413.46 / $413.46 / $439.09	Facility		$413.46	$413.46	$439.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.12 / $242.12 / $322.38	Professional		$242.12	$242.12	$322.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $222.00 / $222.00 / $282.64	Professional		$222.00	$222.00	$282.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $273.20 / $273.20	Facility		$273.20	$273.20	$273.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $199.44 / $273.20	Professional		$199.44	$199.44	$273.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.42 / $372.11 / $496.15	Professional		$289.42	$372.11	$496.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $254.29 / $470.65	Facility		$133.16	$254.29	$470.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $516.83 / $688.70	Professional		$232.00	$516.83	$688.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $226.53 / $312.04 / $516.83	Facility		$226.53	$312.04	$516.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $226.53 / $312.04 / $516.83	Professional		$226.53	$312.04	$516.83
United Facility/Professional Professional Modifier Low / Median / High Price $186.43 / $206.27 / $315.66	Professional		$186.43	$206.27	$315.66