Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.20 / $239.20 / $241.74	Facility		$239.20	$239.20	$241.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.23 / $239.20 / $241.74	Professional		$169.23	$239.20	$241.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $453.53 / $453.53 / $481.65	Facility		$453.53	$453.53	$481.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.64 / $217.64 / $282.73	Professional		$217.64	$217.64	$282.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $243.00 / $310.02	Professional		$243.00	$243.00	$310.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.81 / $297.81 / $297.81	Facility		$297.81	$297.81	$297.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $217.40 / $297.81	Professional		$217.40	$217.40	$297.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $408.18 / $544.24	Professional		$317.47	$408.18	$544.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.27 / $273.17 / $513.78	Facility		$115.27	$273.17	$513.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $595.72 / $755.44	Professional		$201.00	$595.72	$755.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $248.49 / $342.29 / $566.91	Facility		$248.49	$342.29	$566.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $248.49 / $342.29 / $566.91	Professional		$248.49	$342.29	$566.91
United Facility/Professional Professional Modifier Low / Median / High Price $204.51 / $226.27 / $340.85	Professional		$204.51	$226.27	$340.85