Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.95 / $314.95 / $318.32	Facility		$314.95	$314.95	$318.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.25 / $314.95 / $318.32	Professional		$287.25	$314.95	$318.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $597.20 / $597.20 / $634.23	Facility		$597.20	$597.20	$634.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.94 / $289.94 / $386.05	Professional		$289.94	$289.94	$386.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $320.00 / $408.24	Professional		$320.00	$320.00	$408.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.85 / $298.85 / $298.85	Facility		$298.85	$298.85	$298.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.16 / $218.16 / $298.85	Professional		$218.16	$218.16	$298.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $418.04 / $537.48 / $716.64	Professional		$418.04	$537.48	$716.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.04 / $367.30 / $670.08	Facility		$154.04	$367.30	$670.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $269.00 / $784.42 / $994.74	Professional		$269.00	$784.42	$994.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $327.19 / $450.71 / $746.50	Facility		$327.19	$450.71	$746.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $327.19 / $450.71 / $746.50	Professional		$327.19	$450.71	$746.50
United Facility/Professional Professional Modifier Low / Median / High Price $269.29 / $297.94 / $427.44	Professional		$269.29	$297.94	$427.44