Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.01 / $271.70 / $271.70	Facility		$262.01	$271.70	$271.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.62 / $271.70 / $308.29	Professional		$252.62	$271.70	$308.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $515.16 / $515.16 / $547.11	Facility		$515.16	$515.16	$547.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.30 / $296.30 / $381.51	Professional		$296.30	$296.30	$381.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $276.00 / $352.17	Professional		$276.00	$276.00	$352.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.38 / $305.54 / $305.54	Facility		$275.38	$305.54	$305.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $223.04 / $305.54	Professional		$223.04	$223.04	$305.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $360.62 / $463.65 / $618.20	Professional		$360.62	$463.65	$618.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $157.49 / $317.89 / $578.04	Facility		$157.49	$317.89	$578.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $676.68 / $858.11	Professional		$276.00	$676.68	$858.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $282.25 / $388.80 / $643.96	Facility		$282.25	$388.80	$643.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $282.25 / $388.80 / $643.96	Professional		$282.25	$388.80	$643.96
United Facility/Professional Facility Modifier Low / Median / High Price $244.40 / $244.40 / $244.40	Facility		$244.40	$244.40	$244.40
United Facility/Professional Professional Modifier Low / Median / High Price $239.40 / $257.01 / $375.92	Professional		$239.40	$257.01	$375.92