Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $245.47 / $645.65	Facility		$204.17	$245.47	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $467.74	Professional		$204.17	$269.15	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $549.54	Facility		$512.86	$512.86	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $645.65	Professional		$309.03	$309.03	$645.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $354.81	Professional		$269.15	$269.15	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $316.23 / $316.23	Facility		$239.88	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $316.23	Professional		$229.09	$229.09	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $724.44	Professional		$354.81	$512.86	$724.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $501.19	Professional		$251.19	$338.84	$501.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $354.81 / $707.95	Facility		$204.17	$354.81	$707.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $645.65	Professional		$275.42	$275.42	$645.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $416.87 / $1,288.25	Facility		$275.42	$416.87	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $1,288.25	Professional		$275.42	$416.87	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $245.47 / $676.08	Facility		$169.82	$245.47	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $251.19 / $398.11	Professional		$229.09	$251.19	$398.11