Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.09 / $223.09 / $225.47	Facility		$223.09	$223.09	$225.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.42 / $223.09 / $272.80	Professional		$207.42	$223.09	$272.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $423.00 / $423.00 / $449.23	Facility		$423.00	$423.00	$449.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $272.08 / $340.13	Professional		$272.08	$272.08	$340.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $227.00 / $289.16	Professional		$227.00	$227.00	$289.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.11 / $293.77 / $293.77	Facility		$226.11	$293.77	$293.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $214.45 / $293.77	Professional		$214.45	$214.45	$293.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.10 / $380.70 / $507.60	Professional		$296.10	$380.70	$507.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $136.24 / $268.31 / $494.62	Facility		$136.24	$268.31	$494.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $555.62 / $704.59	Professional		$256.00	$555.62	$704.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $231.75 / $319.24 / $528.75	Facility		$231.75	$319.24	$528.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $231.75 / $319.24 / $528.75	Professional		$231.75	$319.24	$528.75
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $564.00 / $676.80	Facility		$564.00	$564.00	$676.80
United Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $211.03 / $325.19	Professional		$196.56	$211.03	$325.19