Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.69 / $233.00 / $610.65	Facility		$215.69	$233.00	$610.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.87 / $233.00 / $317.35	Professional		$192.87	$233.00	$317.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $471.24 / $471.24 / $500.46	Facility		$471.24	$471.24	$500.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.51 / $270.51 / $337.93	Professional		$270.51	$270.51	$337.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $253.00 / $253.00 / $253.00	Professional		$253.00	$253.00	$253.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.90 / $293.31 / $293.31	Facility		$251.90	$293.31	$293.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $214.12 / $391.20	Professional		$214.12	$214.12	$391.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.87 / $424.12 / $565.49	Professional		$329.87	$424.12	$565.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.30 / $289.83 / $529.41	Facility		$140.30	$289.83	$529.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $262.00 / $565.00 / $784.95	Professional		$262.00	$565.00	$784.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $258.19 / $355.65 / $589.04	Facility		$258.19	$355.65	$589.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $258.19 / $355.65 / $589.04	Professional		$258.19	$355.65	$589.04
United Facility/Professional Facility Modifier Low / Median / High Price $580.80 / $580.80 / $696.97	Facility		$580.80	$580.80	$696.97
United Facility/Professional Professional Modifier Low / Median / High Price $197.33 / $235.10 / $353.24	Professional		$197.33	$235.10	$353.24