Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.94 / $235.50 / $235.50	Facility		$194.94	$235.50	$235.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.94 / $235.50 / $293.67	Professional		$194.94	$235.50	$293.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.30 / $476.30 / $505.83	Facility		$476.30	$476.30	$505.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.64 / $289.64 / $374.00	Professional		$289.64	$289.64	$374.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $325.60	Professional		$255.00	$255.00	$325.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.62 / $297.62 / $297.62	Facility		$297.62	$297.62	$297.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $217.26 / $297.62	Professional		$217.26	$217.26	$297.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.41 / $428.67 / $571.55	Professional		$333.41	$428.67	$571.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $153.41 / $292.94 / $542.19	Facility		$153.41	$292.94	$542.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $268.00 / $595.38 / $793.36	Professional		$268.00	$595.38	$793.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $260.95 / $359.46 / $595.38	Facility		$260.95	$359.46	$595.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $260.95 / $359.46 / $595.38	Professional		$260.95	$359.46	$595.38
United Facility/Professional Professional Modifier Low / Median / High Price $214.76 / $237.62 / $357.94	Professional		$214.76	$237.62	$357.94