Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.86 / $227.86 / $230.28	Facility		$227.86	$227.86	$230.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.85 / $227.86 / $245.26	Professional		$211.85	$227.86	$245.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.04 / $432.04 / $458.83	Facility		$432.04	$432.04	$458.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.26 / $245.26 / $321.17	Professional		$245.26	$245.26	$321.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $232.00 / $295.33	Professional		$232.00	$232.00	$295.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $299.52 / $299.52	Facility		$299.52	$299.52	$299.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $218.65 / $299.52	Professional		$218.65	$218.65	$299.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.43 / $388.84 / $518.45	Professional		$302.43	$388.84	$518.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.52 / $265.70 / $491.80	Facility		$131.52	$265.70	$491.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $567.48 / $719.64	Professional		$230.00	$567.48	$719.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $236.71 / $324.68 / $540.04	Facility		$236.71	$324.68	$540.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $236.71 / $324.68 / $540.04	Professional		$236.71	$324.68	$540.04
United Facility/Professional Facility Modifier Low / Median / High Price $544.49 / $544.49 / $653.39	Facility		$544.49	$544.49	$653.39
United Facility/Professional Professional Modifier Low / Median / High Price $200.77 / $215.54 / $313.94	Professional		$200.77	$215.54	$313.94