Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.59 / $239.91 / $239.91	Facility		$198.59	$239.91	$239.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.59 / $239.91 / $292.25	Professional		$198.59	$239.91	$292.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $485.22 / $485.22 / $515.29	Facility		$485.22	$485.22	$515.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.63 / $262.63 / $339.11	Professional		$262.63	$262.63	$339.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $260.00 / $331.70	Professional		$260.00	$260.00	$331.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.03 / $345.03 / $345.03	Facility		$345.03	$345.03	$345.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $251.87 / $345.03	Professional		$251.87	$251.87	$345.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.65 / $436.70 / $582.26	Professional		$339.65	$436.70	$582.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $142.47 / $298.42 / $544.41	Facility		$142.47	$298.42	$544.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $606.53 / $808.22	Professional		$249.00	$606.53	$808.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $265.83 / $366.19 / $606.53	Facility		$265.83	$366.19	$606.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $265.83 / $366.19 / $606.53	Professional		$265.83	$366.19	$606.53
United Facility/Professional Professional Modifier Low / Median / High Price $200.39 / $242.07 / $364.64	Professional		$200.39	$242.07	$364.64