Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.84 / $243.84 / $246.44	Facility		$243.84	$243.84	$246.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.35 / $243.84 / $267.57	Professional		$206.35	$243.84	$267.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.35 / $462.35 / $491.02	Facility		$462.35	$462.35	$491.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.11 / $266.11 / $342.13	Professional		$266.11	$266.11	$342.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $248.00 / $316.06	Professional		$248.00	$248.00	$316.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.26 / $366.26 / $366.26	Facility		$366.26	$366.26	$366.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $366.26	Professional		$267.37	$267.37	$366.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.64 / $416.12 / $554.82	Professional		$323.64	$416.12	$554.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.55 / $292.08 / $518.76	Facility		$140.55	$292.08	$518.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $607.29 / $770.12	Professional		$245.00	$607.29	$770.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $253.30 / $347.46 / $577.94	Facility		$253.30	$347.46	$577.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $253.30 / $347.46 / $577.94	Professional		$253.30	$347.46	$577.94
United Facility/Professional Professional Modifier Low / Median / High Price $213.26 / $230.66 / $335.50	Professional		$213.26	$230.66	$335.50