Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.87 / $255.87 / $258.58	Facility		$255.87	$255.87	$258.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.27 / $255.87 / $266.68	Professional		$236.27	$255.87	$266.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $485.15 / $485.15 / $515.23	Facility		$485.15	$485.15	$515.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.61 / $298.61 / $373.29	Professional		$298.61	$298.61	$373.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $259.77 / $259.77 / $331.65	Professional		$259.77	$259.77	$331.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.50 / $321.50 / $321.50	Facility		$321.50	$321.50	$321.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $234.70 / $234.70	Professional		$234.70	$234.70	$234.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.61 / $436.64 / $582.17	Professional		$339.61	$436.64	$582.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.01 / $292.20 / $542.05	Facility		$143.01	$292.20	$542.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $375.54 / $637.24 / $808.10	Professional		$375.54	$637.24	$808.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $265.79 / $375.94 / $619.79	Facility		$265.79	$375.94	$619.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $265.79 / $375.94 / $619.79	Professional		$265.79	$375.94	$619.79
United Facility/Professional Professional Modifier Low / Median / High Price $218.75 / $242.03 / $364.58	Professional		$218.75	$242.03	$364.58