Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.67 / $227.67 / $230.09	Facility		$227.67	$227.67	$230.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.78 / $227.67 / $246.53	Professional		$210.78	$227.67	$246.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.68 / $431.68 / $458.44	Facility		$431.68	$431.68	$458.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.00 / $269.00 / $337.16	Professional		$269.00	$269.00	$337.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $231.00 / $295.08	Professional		$231.00	$231.00	$295.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.26 / $279.26 / $279.26	Facility		$279.26	$279.26	$279.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $203.86 / $279.26	Professional		$203.86	$203.86	$279.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.18 / $388.51 / $518.02	Professional		$302.18	$388.51	$518.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.03 / $273.81 / $491.39	Facility		$139.03	$273.81	$491.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $567.01 / $719.04	Professional		$252.00	$567.01	$719.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $236.50 / $324.41 / $539.60	Facility		$236.50	$324.41	$539.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $236.50 / $324.41 / $539.60	Professional		$236.50	$324.41	$539.60
United Facility/Professional Facility Modifier Low / Median / High Price $287.68 / $287.68 / $287.68	Facility		$287.68	$287.68	$287.68
United Facility/Professional Professional Modifier Low / Median / High Price $200.60 / $215.36 / $331.86	Professional		$200.60	$215.36	$331.86