Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.39 / $250.39 / $253.05	Facility		$250.39	$250.39	$253.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.73 / $250.39 / $267.41	Professional		$215.73	$250.39	$267.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.76 / $474.76 / $504.20	Facility		$474.76	$474.76	$504.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.76 / $270.76 / $343.98	Professional		$270.76	$270.76	$343.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $324.54	Professional		$255.00	$255.00	$324.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.84 / $335.84 / $335.84	Facility		$335.84	$335.84	$335.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $245.16 / $317.23	Professional		$245.16	$245.16	$317.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.33 / $427.28 / $569.71	Professional		$332.33	$427.28	$569.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.40 / $292.66 / $534.91	Facility		$143.40	$292.66	$534.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $623.59 / $790.79	Professional		$254.00	$623.59	$790.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $260.11 / $358.29 / $593.45	Facility		$260.11	$358.29	$593.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $260.11 / $358.29 / $593.45	Professional		$260.11	$358.29	$593.45
United Facility/Professional Professional Modifier Low / Median / High Price $218.99 / $236.85 / $342.28	Professional		$218.99	$236.85	$342.28