Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.79 / $267.94 / $267.94	Facility		$221.79	$267.94	$267.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.79 / $267.94 / $347.85	Professional		$221.79	$267.94	$347.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $541.90 / $541.90 / $575.50	Facility		$541.90	$541.90	$575.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.60 / $308.60 / $410.53	Professional		$308.60	$308.60	$410.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $291.00 / $291.00 / $370.44	Professional		$291.00	$291.00	$370.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.30 / $324.30 / $324.30	Facility		$324.30	$324.30	$324.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $236.74 / $324.30	Professional		$236.74	$236.74	$324.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $379.33 / $487.71 / $650.28	Professional		$379.33	$487.71	$650.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $167.15 / $333.28 / $616.86	Facility		$167.15	$333.28	$616.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $677.38 / $902.63	Professional		$292.00	$677.38	$902.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $296.89 / $408.97 / $677.38	Facility		$296.89	$408.97	$677.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $296.89 / $408.97 / $677.38	Professional		$296.89	$408.97	$677.38
United Facility/Professional Professional Modifier Low / Median / High Price $235.10 / $270.35 / $410.64	Professional		$235.10	$270.35	$410.64