Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.70 / $212.70 / $214.96	Facility		$212.70	$212.70	$214.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.70 / $212.70 / $254.26	Professional		$212.70	$212.70	$254.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.29 / $403.29 / $428.29	Facility		$403.29	$403.29	$428.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.33 / $321.33 / $401.69	Professional		$321.33	$321.33	$401.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $216.00 / $275.69	Professional		$216.00	$216.00	$275.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.58 / $260.88 / $260.88	Facility		$215.58	$260.88	$260.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $190.44 / $260.88	Professional		$190.44	$190.44	$260.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.30 / $362.96 / $483.95	Professional		$282.30	$362.96	$483.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $248.86 / $480.56	Facility		$129.88	$248.86	$480.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $529.73 / $671.76	Professional		$302.00	$529.73	$671.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $220.95 / $304.36 / $504.11	Facility		$220.95	$304.36	$504.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $220.95 / $304.36 / $504.11	Professional		$220.95	$304.36	$504.11
United Facility/Professional Professional Modifier Low / Median / High Price $187.41 / $201.20 / $310.04	Professional		$187.41	$201.20	$310.04