Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.22 / $213.22 / $215.49	Facility		$213.22	$213.22	$215.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.90 / $213.22 / $222.24	Professional		$196.90	$213.22	$222.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $404.30 / $404.30 / $429.37	Facility		$404.30	$404.30	$429.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.87 / $248.87 / $311.11	Professional		$248.87	$248.87	$311.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.95 / $245.95 / $276.37	Professional		$245.95	$245.95	$276.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $267.94 / $267.94	Facility		$267.94	$267.94	$267.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $195.60 / $267.94	Professional		$195.60	$195.60	$267.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.01 / $363.87 / $485.16	Professional		$283.01	$363.87	$485.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.17 / $248.64 / $451.72	Facility		$119.17	$248.64	$451.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $304.74 / $531.04 / $673.42	Professional		$304.74	$531.04	$673.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $221.49 / $310.80 / $516.49	Facility		$221.49	$310.80	$516.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $221.49 / $310.80 / $516.49	Professional		$221.49	$310.80	$516.49
United Facility/Professional Professional Modifier Low / Median / High Price $184.60 / $201.70 / $289.35	Professional		$184.60	$201.70	$289.35