Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $223.87 / $223.87	Facility		$218.78	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $354.81	Professional		$186.21	$223.87	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $457.09	Facility		$426.58	$426.58	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $537.03	Professional		$257.04	$257.04	$537.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $295.12	Professional		$223.87	$223.87	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $363.08 / $363.08	Facility		$234.42	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $363.08	Professional		$263.03	$263.03	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $602.56	Professional		$302.00	$426.58	$602.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $416.87	Professional		$208.93	$281.84	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $309.03 / $588.84	Facility		$181.97	$309.03	$588.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $316.23	Professional		$229.09	$275.42	$316.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $346.74 / $1,230.27	Facility		$229.09	$346.74	$1,230.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $1,230.27	Professional		$229.09	$346.74	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $316.23 / $575.44	Facility		$158.49	$316.23	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $323.59	Professional		$194.98	$208.93	$323.59