Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.63 / $264.63 / $669.00	Facility		$264.63	$264.63	$669.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.05 / $264.63 / $372.38	Professional		$219.05	$264.63	$372.38
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 $301.51 / $301.51 / $381.13	Professional		$301.51	$301.51	$381.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $301.79 / $301.79 / $365.86	Professional		$301.79	$301.79	$365.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.73 / $375.73 / $383.66	Facility		$375.73	$375.73	$383.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $274.27 / $383.66	Professional		$274.27	$274.27	$383.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $401.40 / $481.68 / $642.24	Professional		$401.40	$481.68	$642.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $232.19 / $358.79 / $560.47	Facility		$232.19	$358.79	$560.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $444.11 / $703.00 / $891.49	Professional		$444.11	$703.00	$891.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $312.14 / $445.91 / $783.99	Facility		$312.14	$445.91	$783.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $312.14 / $445.91 / $783.99	Professional		$312.14	$445.91	$783.99
United Facility/Professional Professional Modifier Low / Median / High Price $240.31 / $267.01 / $431.13	Professional		$240.31	$267.01	$431.13