Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.07 / $303.31 / $303.31	Facility		$251.07	$303.31	$303.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.07 / $303.31 / $347.14	Professional		$251.07	$303.31	$347.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $613.45 / $613.45 / $651.48	Facility		$613.45	$613.45	$651.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.70 / $319.70 / $415.11	Professional		$319.70	$319.70	$415.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $329.00 / $419.35	Professional		$329.00	$329.00	$419.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.44 / $328.44 / $328.44	Facility		$328.44	$328.44	$328.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.76 / $239.76 / $328.44	Professional		$239.76	$239.76	$328.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $429.42 / $552.11 / $736.14	Professional		$429.42	$552.11	$736.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.29 / $377.28 / $685.42	Facility		$169.29	$377.28	$685.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $321.00 / $766.81 / $1,021.81	Professional		$321.00	$766.81	$1,021.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $336.08 / $462.95 / $766.81	Facility		$336.08	$462.95	$766.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $336.08 / $462.95 / $766.81	Professional		$336.08	$462.95	$766.81
United Facility/Professional Professional Modifier Low / Median / High Price $238.10 / $306.04 / $459.83	Professional		$238.10	$306.04	$459.83