Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.94 / $241.94 / $244.51	Facility		$241.94	$241.94	$244.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.41 / $241.94 / $252.17	Professional		$223.41	$241.94	$252.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $458.73 / $458.73 / $487.17	Facility		$458.73	$458.73	$487.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.38 / $282.38 / $353.00	Professional		$282.38	$282.38	$353.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $313.58	Professional		$256.08	$256.08	$313.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $294.27 / $294.27	Facility		$294.27	$294.27	$294.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $214.82 / $294.27	Professional		$214.82	$214.82	$294.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.11 / $412.86 / $550.48	Professional		$321.11	$412.86	$550.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $282.14 / $514.70	Facility		$135.22	$282.14	$514.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $602.54 / $764.10	Professional		$264.00	$602.54	$764.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $251.33 / $347.23 / $574.40	Facility		$251.33	$347.23	$574.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $251.33 / $347.23 / $574.40	Professional		$251.33	$347.23	$574.40
United Facility/Professional Facility Modifier Low / Median / High Price $161.38 / $276.79 / $315.60	Facility		$161.38	$276.79	$315.60
United Facility/Professional Professional Modifier Low / Median / High Price $206.84 / $228.86 / $328.32	Professional		$206.84	$228.86	$328.32