Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.62 / $265.32 / $265.32	Facility		$219.62	$265.32	$265.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.62 / $265.32 / $322.29	Professional		$219.62	$265.32	$322.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $536.60 / $536.60 / $569.87	Facility		$536.60	$536.60	$569.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.32 / $326.32 / $422.77	Professional		$326.32	$326.32	$422.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $288.00 / $366.82	Professional		$288.00	$288.00	$366.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $347.13 / $347.13	Facility		$347.13	$347.13	$347.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $253.40 / $347.13	Professional		$253.40	$253.40	$347.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.62 / $482.94 / $643.91	Professional		$375.62	$482.94	$643.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.83 / $330.02 / $610.83	Facility		$172.83	$330.02	$610.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $402.00 / $670.75 / $893.81	Professional		$402.00	$670.75	$893.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $293.99 / $404.98 / $670.75	Facility		$293.99	$404.98	$670.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $293.99 / $404.98 / $670.75	Professional		$293.99	$404.98	$670.75
United Facility/Professional Professional Modifier Low / Median / High Price $241.96 / $267.70 / $403.26	Professional		$241.96	$267.70	$403.26