Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.83 / $215.45 / $215.45	Facility		$206.83	$215.45	$215.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.32 / $215.45 / $264.02	Professional		$200.32	$215.45	$264.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.51 / $408.51 / $433.84	Facility		$408.51	$408.51	$433.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.73 / $210.73 / $278.58	Professional		$210.73	$210.73	$278.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $219.00 / $219.00	Professional		$219.00	$219.00	$219.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.36 / $232.98 / $232.98	Facility		$218.36	$232.98	$232.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $170.08 / $232.98	Professional		$170.08	$170.08	$232.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.95 / $367.66 / $490.21	Professional		$285.95	$367.66	$490.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $111.68 / $251.24 / $458.35	Facility		$111.68	$251.24	$458.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $536.59 / $680.45	Professional		$195.00	$536.59	$680.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $223.81 / $307.00 / $510.64	Facility		$223.81	$307.00	$510.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $223.81 / $307.00 / $510.64	Professional		$223.81	$307.00	$510.64
United Facility/Professional Professional Modifier Low / Median / High Price $184.20 / $203.80 / $307.00	Professional		$184.20	$203.80	$307.00