Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.72 / $339.72 / $343.34	Facility		$339.72	$339.72	$343.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.17 / $339.72 / $343.34	Professional		$301.17	$339.72	$343.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $644.15 / $644.15 / $684.09	Facility		$644.15	$644.15	$684.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.89 / $319.89 / $410.99	Professional		$319.89	$319.89	$410.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $345.00 / $360.99 / $440.34	Professional		$345.00	$360.99	$440.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.53 / $329.53 / $344.32	Facility		$329.53	$329.53	$344.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $240.56 / $329.53	Professional		$240.56	$240.56	$329.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $579.74 / $772.98	Professional		$450.91	$579.74	$772.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.85 / $396.17 / $722.75	Facility		$169.85	$396.17	$722.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $297.00 / $846.09 / $1,072.94	Professional		$297.00	$846.09	$1,072.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $352.91 / $486.13 / $805.19	Facility		$352.91	$486.13	$805.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $352.91 / $486.13 / $805.19	Professional		$352.91	$486.13	$805.19
United Facility/Professional Professional Modifier Low / Median / High Price $277.42 / $321.36 / $461.03	Professional		$277.42	$321.36	$461.03