Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.98 / $240.38 / $240.38	Facility		$198.98	$240.38	$240.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.98 / $240.38 / $425.71	Professional		$198.98	$240.38	$425.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.17 / $486.17 / $516.30	Facility		$486.17	$486.17	$516.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.27 / $291.27 / $358.15	Professional		$291.27	$291.27	$358.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $310.55 / $310.55 / $332.35	Professional		$310.55	$310.55	$332.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $278.04 / $278.04	Facility		$278.04	$278.04	$278.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $202.97 / $385.88	Professional		$202.97	$202.97	$385.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $340.32 / $437.55 / $583.40	Professional		$340.32	$437.55	$583.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $271.63 / $543.21	Facility		$143.31	$271.63	$543.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $376.35 / $583.00 / $809.81	Professional		$376.35	$583.00	$809.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $266.35 / $375.79 / $608.77	Facility		$266.35	$375.79	$608.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $266.35 / $375.79 / $608.77	Professional		$266.35	$375.79	$608.77
United Facility/Professional Facility Modifier Low / Median / High Price $167.20 / $220.01 / $290.45	Facility		$167.20	$220.01	$290.45
United Facility/Professional Professional Modifier Low / Median / High Price $201.56 / $242.54 / $386.61	Professional		$201.56	$242.54	$386.61