Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.64 / $265.35 / $265.35	Facility		$219.64	$265.35	$265.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.64 / $265.35 / $322.33	Professional		$219.64	$265.35	$322.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $536.66 / $536.66 / $569.92	Facility		$536.66	$536.66	$569.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.33 / $322.33 / $417.88	Professional		$322.33	$322.33	$417.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $288.00 / $366.86	Professional		$288.00	$288.00	$366.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.34 / $335.34 / $335.34	Facility		$335.34	$335.34	$335.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $244.80 / $335.34	Professional		$244.80	$244.80	$335.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.66 / $482.99 / $643.99	Professional		$375.66	$482.99	$643.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.85 / $330.06 / $610.90	Facility		$172.85	$330.06	$610.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $670.83 / $893.90	Professional		$308.00	$670.83	$893.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $294.02 / $405.01 / $670.83	Facility		$294.02	$405.01	$670.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $294.02 / $405.01 / $670.83	Professional		$294.02	$405.01	$670.83
United Facility/Professional Professional Modifier Low / Median / High Price $241.99 / $267.73 / $403.31	Professional		$241.99	$267.73	$403.31