Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.77 / $268.77 / $271.63	Facility		$268.77	$268.77	$271.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.89 / $268.77 / $274.33	Professional		$249.89	$268.77	$274.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.60 / $509.60 / $541.20	Facility		$509.60	$509.60	$541.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.79 / $263.79 / $342.27	Professional		$263.79	$263.79	$342.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $284.50 / $284.50 / $284.50	Professional		$284.50	$284.50	$284.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.54 / $274.54 / $274.54	Facility		$274.54	$274.54	$274.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $274.54	Professional		$200.41	$200.41	$274.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.72 / $458.64 / $611.52	Professional		$356.72	$458.64	$611.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.13 / $313.42 / $571.79	Facility		$140.13	$313.42	$571.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $669.37 / $848.84	Professional		$245.00	$669.37	$848.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $279.20 / $384.60 / $637.00	Facility		$279.20	$384.60	$637.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $279.20 / $384.60 / $637.00	Professional		$279.20	$384.60	$637.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.89 / $254.24 / $364.74	Professional		$228.89	$254.24	$364.74