Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.24 / $219.24 / $221.57	Facility		$219.24	$219.24	$221.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.26 / $219.24 / $221.57	Professional		$185.26	$219.24	$221.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $415.69 / $415.69 / $441.46	Facility		$415.69	$415.69	$441.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.25 / $221.25 / $284.95	Professional		$221.25	$221.25	$284.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.00 / $223.00 / $284.17	Professional		$223.00	$223.00	$284.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $228.28 / $228.28	Facility		$228.28	$228.28	$228.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $166.64 / $228.28	Professional		$166.64	$166.64	$228.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.98 / $374.12 / $498.83	Professional		$290.98	$374.12	$498.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.66 / $256.51 / $473.19	Facility		$117.66	$256.51	$473.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $546.01 / $692.41	Professional		$224.00	$546.01	$692.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $227.75 / $312.39 / $519.61	Facility		$227.75	$312.39	$519.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $227.75 / $312.39 / $519.61	Professional		$227.75	$312.39	$519.61
United Facility/Professional Professional Modifier Low / Median / High Price $187.44 / $207.38 / $312.39	Professional		$187.44	$207.38	$312.39