Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.93 / $209.93 / $212.17	Facility		$209.93	$209.93	$212.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.19 / $209.93 / $239.07	Professional		$195.19	$209.93	$239.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.05 / $398.05 / $422.73	Facility		$398.05	$398.05	$422.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.07 / $240.07 / $311.68	Professional		$240.07	$240.07	$311.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $213.00 / $272.11	Professional		$213.00	$213.00	$272.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.77 / $306.16 / $306.16	Facility		$212.77	$306.16	$306.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $223.50 / $306.16	Professional		$223.50	$223.50	$306.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $278.64 / $358.25 / $477.66	Professional		$278.64	$358.25	$477.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.19 / $245.62 / $453.12	Facility		$128.19	$245.62	$453.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $522.85 / $663.04	Professional		$224.00	$522.85	$663.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $218.08 / $299.14 / $497.56	Facility		$218.08	$299.14	$497.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $218.08 / $299.14 / $497.56	Professional		$218.08	$299.14	$497.56
United Facility/Professional Professional Modifier Low / Median / High Price $179.48 / $198.59 / $306.01	Professional		$179.48	$198.59	$306.01