Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.53 / $248.30 / $248.30	Facility		$205.53	$248.30	$248.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.53 / $248.30 / $321.55	Professional		$205.53	$248.30	$321.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $502.18 / $502.18 / $533.32	Facility		$502.18	$502.18	$533.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.99 / $308.99 / $392.62	Professional		$308.99	$308.99	$392.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $269.00 / $269.00 / $343.29	Professional		$269.00	$269.00	$343.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.79 / $313.79 / $313.79	Facility		$313.79	$313.79	$313.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $229.07 / $313.79	Professional		$229.07	$229.07	$313.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $351.53 / $451.96 / $602.62	Professional		$351.53	$451.96	$602.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.74 / $308.85 / $577.51	Facility		$161.74	$308.85	$577.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $299.00 / $627.73 / $836.47	Professional		$299.00	$627.73	$836.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $275.13 / $378.98 / $627.73	Facility		$275.13	$378.98	$627.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $275.13 / $378.98 / $627.73	Professional		$275.13	$378.98	$627.73
United Facility/Professional Professional Modifier Low / Median / High Price $226.43 / $250.53 / $397.34	Professional		$226.43	$250.53	$397.34