Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.97 / $229.49 / $229.49	Facility		$189.97	$229.49	$229.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.97 / $229.49 / $276.20	Professional		$189.97	$229.49	$276.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $464.15 / $464.15 / $492.93	Facility		$464.15	$464.15	$492.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.08 / $280.08 / $350.37	Professional		$280.08	$280.08	$350.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $249.00 / $317.29	Professional		$249.00	$249.00	$317.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $352.55 / $352.55	Facility		$352.55	$352.55	$352.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $257.36 / $352.55	Professional		$257.36	$257.36	$352.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.91 / $417.74 / $556.98	Professional		$324.91	$417.74	$556.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.11 / $283.50 / $523.48	Facility		$148.11	$283.50	$523.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $259.00 / $580.19 / $773.12	Professional		$259.00	$580.19	$773.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $254.29 / $351.33 / $581.17	Facility		$254.29	$351.33	$581.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $254.29 / $351.33 / $581.17	Professional		$254.29	$351.33	$581.17
United Facility/Professional Professional Modifier Low / Median / High Price $208.32 / $231.56 / $348.81	Professional		$208.32	$231.56	$348.81