Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $354.81	Professional		$190.55	$223.87	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $457.09	Facility		$436.52	$436.52	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $549.54	Professional		$263.03	$263.03	$549.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $295.12	Professional		$234.42	$234.42	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $275.42 / $275.42	Facility		$177.83	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $275.42	Professional		$199.53	$199.53	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $602.56	Professional		$302.00	$436.52	$602.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $295.12	Professional		$199.53	$288.40	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $302.00 / $549.54	Facility		$190.55	$302.00	$549.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $323.59	Professional		$234.42	$281.84	$323.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $363.08 / $1,258.93	Facility		$234.42	$363.08	$1,258.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $1,258.93	Professional		$234.42	$363.08	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $295.12 / $630.96	Facility		$147.91	$295.12	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $213.80 / $323.59	Professional		$194.98	$213.80	$323.59