Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.87 / $220.87 / $223.22	Facility		$220.87	$220.87	$223.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.35 / $220.87 / $251.53	Professional		$205.35	$220.87	$251.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $418.79 / $444.75	Facility		$418.79	$418.79	$444.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.30 / $257.30 / $333.85	Professional		$257.30	$257.30	$333.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $233.49 / $233.49 / $286.27	Professional		$233.49	$233.49	$286.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $327.20 / $327.20	Facility		$327.20	$327.20	$327.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $238.86 / $327.20	Professional		$238.86	$238.86	$327.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.14 / $376.91 / $502.55	Professional		$293.14	$376.91	$502.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $269.60 / $469.89	Facility		$134.88	$269.60	$469.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $306.45 / $550.08 / $697.57	Professional		$306.45	$550.08	$697.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $229.45 / $316.06 / $523.49	Facility		$229.45	$316.06	$523.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $229.45 / $316.06 / $523.49	Professional		$229.45	$316.06	$523.49
United Facility/Professional Facility Modifier Low / Median / High Price $160.97 / $276.08 / $314.79	Facility		$160.97	$276.08	$314.79
United Facility/Professional Professional Modifier Low / Median / High Price $194.61 / $208.93 / $321.95	Professional		$194.61	$208.93	$321.95