Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $234.42 / $234.42	Facility		$229.09	$234.42	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $363.08	Professional		$194.98	$234.42	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $478.63	Facility		$446.68	$446.68	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $549.54	Professional		$263.03	$263.03	$549.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $309.03	Professional		$234.42	$234.42	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $281.84 / $281.84	Facility		$181.97	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $281.84	Professional		$204.17	$204.17	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $630.96	Professional		$309.03	$446.68	$630.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $295.12 / $436.52	Professional		$288.40	$295.12	$436.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $323.59 / $588.84	Facility		$186.21	$323.59	$588.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $288.40	Professional		$239.88	$281.84	$288.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $363.08 / $1,288.25	Facility		$239.88	$363.08	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $1,288.25	Professional		$239.88	$363.08	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $323.59 / $588.84	Facility		$120.23	$323.59	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $218.78 / $331.13	Professional		$204.17	$218.78	$331.13