Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.18 / $244.25 / $244.25	Facility		$202.18	$244.25	$244.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.18 / $244.25 / $321.77	Professional		$202.18	$244.25	$321.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $494.00 / $524.63	Facility		$494.00	$494.00	$524.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.87 / $300.87 / $386.09	Professional		$300.87	$300.87	$386.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $265.00 / $337.69	Professional		$265.00	$265.00	$337.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.54 / $387.54 / $387.54	Facility		$387.54	$387.54	$387.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $282.89 / $387.54	Professional		$282.89	$282.89	$387.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.80 / $444.60 / $592.79	Professional		$345.80	$444.60	$592.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $159.11 / $303.82 / $562.33	Facility		$159.11	$303.82	$562.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $299.00 / $617.50 / $822.83	Professional		$299.00	$617.50	$822.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $270.64 / $372.82 / $617.50	Facility		$270.64	$372.82	$617.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $372.82 / $617.50	Professional		$270.64	$372.82	$617.50
United Facility/Professional Professional Modifier Low / Median / High Price $222.74 / $246.45 / $371.24	Professional		$222.74	$246.45	$371.24