Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.27 / $214.27 / $216.55	Facility		$214.27	$214.27	$216.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.20 / $214.27 / $244.01	Professional		$214.20	$214.27	$244.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.26 / $406.26 / $431.45	Facility		$406.26	$406.26	$431.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.06 / $247.06 / $319.93	Professional		$247.06	$247.06	$319.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $218.00 / $277.72	Professional		$218.00	$218.00	$277.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.67 / $280.67 / $280.67	Facility		$280.67	$280.67	$280.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $204.89 / $280.67	Professional		$204.89	$204.89	$280.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.38 / $365.63 / $487.51	Professional		$284.38	$365.63	$487.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.85 / $249.86 / $467.20	Facility		$130.85	$249.86	$467.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $281.00 / $533.63 / $676.71	Professional		$281.00	$533.63	$676.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $222.58 / $306.60 / $507.83	Facility		$222.58	$306.60	$507.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $222.58 / $306.60 / $507.83	Professional		$222.58	$306.60	$507.83
United Facility/Professional Professional Modifier Low / Median / High Price $188.79 / $202.68 / $312.33	Professional		$188.79	$202.68	$312.33