Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.08 / $284.08 / $287.12	Facility		$284.08	$284.08	$287.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.14 / $284.08 / $323.61	Professional		$264.14	$284.08	$323.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $538.66 / $538.66 / $572.05	Facility		$538.66	$538.66	$572.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.52 / $323.52 / $422.28	Professional		$323.52	$323.52	$422.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $289.00 / $301.87 / $368.23	Professional		$289.00	$301.87	$368.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.94 / $393.88 / $393.88	Facility		$287.94	$393.88	$393.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $287.52 / $359.92	Professional		$287.52	$287.52	$359.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.06 / $484.79 / $646.39	Professional		$377.06	$484.79	$646.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.49 / $345.38 / $613.16	Facility		$173.49	$345.38	$613.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $303.00 / $707.54 / $897.24	Professional		$303.00	$707.54	$897.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $295.11 / $406.52 / $673.33	Facility		$295.11	$406.52	$673.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $295.11 / $406.52 / $673.33	Professional		$295.11	$406.52	$673.33
United Facility/Professional Professional Modifier Low / Median / High Price $242.88 / $268.73 / $414.11	Professional		$242.88	$268.73	$414.11