Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.90 / $253.57 / $253.57	Facility		$209.90	$253.57	$253.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.90 / $253.57 / $388.44	Professional		$209.90	$253.57	$388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.84 / $512.84 / $544.64	Facility		$512.84	$512.84	$544.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.66 / $307.66 / $390.82	Professional		$307.66	$307.66	$390.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $275.00 / $350.57	Professional		$275.00	$275.00	$350.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.14 / $361.45 / $361.45	Facility		$274.14	$361.45	$361.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $263.86 / $361.45	Professional		$263.86	$263.86	$361.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $358.99 / $461.56 / $615.41	Professional		$358.99	$461.56	$615.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $164.30 / $315.42 / $583.78	Facility		$164.30	$315.42	$583.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $641.04 / $854.23	Professional		$308.00	$641.04	$854.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $280.98 / $387.05 / $641.04	Facility		$280.98	$387.05	$641.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $280.98 / $387.05 / $641.04	Professional		$280.98	$387.05	$641.04
United Facility/Professional Professional Modifier Low / Median / High Price $231.09 / $255.85 / $385.43	Professional		$231.09	$255.85	$385.43