Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.54 / $214.48 / $214.48	Facility		$177.54	$214.48	$214.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.54 / $214.48 / $229.84	Professional		$177.54	$214.48	$229.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $433.78 / $433.78 / $460.67	Facility		$433.78	$433.78	$460.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.52 / $242.52 / $305.11	Professional		$242.52	$242.52	$305.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $233.00 / $296.52	Professional		$233.00	$233.00	$296.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $252.60 / $252.60	Facility		$252.60	$252.60	$252.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $184.40 / $252.60	Professional		$184.40	$184.40	$252.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.64 / $390.40 / $520.54	Professional		$303.64	$390.40	$520.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $253.88 / $486.72	Facility		$128.93	$253.88	$486.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $542.23 / $722.54	Professional		$225.00	$542.23	$722.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $237.66 / $327.37 / $542.23	Facility		$237.66	$327.37	$542.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $237.66 / $327.37 / $542.23	Professional		$237.66	$327.37	$542.23
United Facility/Professional Professional Modifier Low / Median / High Price $183.95 / $216.41 / $353.36	Professional		$183.95	$216.41	$353.36