Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.27 / $230.27 / $232.72	Facility		$230.27	$230.27	$232.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.63 / $230.27 / $240.00	Professional		$212.63	$230.27	$240.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.60 / $436.60 / $463.67	Facility		$436.60	$436.60	$463.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $243.00 / $310.89	Professional		$243.00	$243.00	$310.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $255.09 / $255.09 / $298.45	Professional		$255.09	$255.09	$298.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.35 / $318.35 / $318.35	Facility		$318.35	$318.35	$318.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $232.40 / $318.35	Professional		$232.40	$232.40	$318.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.62 / $392.94 / $523.91	Professional		$305.62	$392.94	$523.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $268.51 / $487.81	Facility		$128.69	$268.51	$487.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $329.08 / $573.49 / $727.25	Professional		$329.08	$573.49	$727.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $239.20 / $335.64 / $557.77	Facility		$239.20	$335.64	$557.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $239.20 / $335.64 / $557.77	Professional		$239.20	$335.64	$557.77
United Facility/Professional Professional Modifier Low / Median / High Price $196.86 / $217.82 / $328.10	Professional		$196.86	$217.82	$328.10