Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.30 / $262.30 / $265.08	Facility		$262.30	$262.30	$265.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.30 / $262.30 / $265.08	Professional		$238.30	$262.30	$265.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $497.35 / $497.35 / $528.19	Facility		$497.35	$497.35	$528.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.24 / $269.24 / $344.73	Professional		$269.24	$269.24	$344.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $267.00 / $278.70 / $339.98	Professional		$267.00	$278.70	$339.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.70 / $315.70 / $315.70	Facility		$315.70	$315.70	$315.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $230.47 / $315.70	Professional		$230.47	$230.47	$315.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.15 / $447.62 / $596.82	Professional		$348.15	$447.62	$596.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.94 / $315.45 / $566.14	Facility		$141.94	$315.45	$566.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $653.26 / $828.42	Professional		$254.00	$653.26	$828.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $272.48 / $375.35 / $621.69	Facility		$272.48	$375.35	$621.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $272.48 / $375.35 / $621.69	Professional		$272.48	$375.35	$621.69
United Facility/Professional Professional Modifier Low / Median / High Price $224.26 / $248.12 / $355.96	Professional		$224.26	$248.12	$355.96