Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $269.15 / $691.83	Facility		$218.78	$269.15	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $457.09	Professional		$223.87	$275.42	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $588.84	Facility		$549.54	$549.54	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $645.65	Professional		$309.03	$309.03	$645.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $380.19	Professional		$288.40	$288.40	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $323.59 / $323.59	Facility		$275.42	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $323.59	Professional		$234.42	$234.42	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $776.25	Professional		$389.05	$549.54	$776.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $537.03	Professional		$295.12	$363.08	$537.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $371.54 / $707.95	Facility		$223.87	$371.54	$707.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $691.83	Professional		$295.12	$363.08	$691.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $446.68 / $1,288.25	Facility		$295.12	$446.68	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $1,288.25	Professional		$295.12	$446.68	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $257.04 / $707.95	Facility		$173.78	$257.04	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $269.15 / $436.52	Professional		$245.47	$269.15	$436.52