Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.05 / $264.63 / $264.63	Facility		$219.05	$264.63	$264.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.05 / $264.63 / $323.64	Professional		$219.05	$264.63	$323.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $535.20 / $535.20 / $568.38	Facility		$535.20	$535.20	$568.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.10 / $295.10 / $368.90	Professional		$295.10	$295.10	$368.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $298.79 / $298.79 / $365.86	Professional		$298.79	$298.79	$365.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.89 / $336.03 / $336.03	Facility		$321.89	$336.03	$336.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $336.03	Professional		$245.30	$245.30	$336.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $374.64 / $481.68 / $642.24	Professional		$374.64	$481.68	$642.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $157.77 / $309.62 / $598.01	Facility		$157.77	$309.62	$598.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $642.00 / $891.49	Professional		$308.00	$642.00	$891.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $293.23 / $403.92 / $669.00	Facility		$293.23	$403.92	$669.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $293.23 / $403.92 / $669.00	Professional		$293.23	$403.92	$669.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.91 / $267.01 / $402.22	Professional		$221.91	$267.01	$402.22