Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $258.52 / $258.52	Facility		$214.00	$258.52	$258.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $258.52 / $298.60	Professional		$214.00	$258.52	$298.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $522.86 / $522.86 / $555.28	Facility		$522.86	$522.86	$555.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.93 / $319.93 / $417.55	Professional		$319.93	$319.93	$417.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $280.00 / $357.43	Professional		$280.00	$280.00	$357.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.35 / $373.35 / $373.35	Facility		$373.35	$373.35	$373.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $272.55 / $373.35	Professional		$272.55	$272.55	$373.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.00 / $470.57 / $627.42	Professional		$366.00	$470.57	$627.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $168.40 / $321.57 / $595.17	Facility		$168.40	$321.57	$595.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $381.00 / $653.58 / $870.92	Professional		$381.00	$653.58	$870.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $286.45 / $394.60 / $653.58	Facility		$286.45	$394.60	$653.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $286.45 / $394.60 / $653.58	Professional		$286.45	$394.60	$653.58
United Facility/Professional Professional Modifier Low / Median / High Price $235.76 / $260.85 / $392.93	Professional		$235.76	$260.85	$392.93