Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $234.42 / $234.42	Facility		$229.09	$234.42	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $371.54	Professional		$190.55	$229.09	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $467.74	Facility		$446.68	$446.68	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $512.86	Professional		$245.47	$245.47	$512.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $309.03	Professional		$257.04	$257.04	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $316.23 / $316.23	Facility		$190.55	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $316.23	Professional		$234.42	$234.42	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $616.60	Professional		$309.03	$446.68	$616.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $295.12	Professional		$223.87	$295.12	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $316.23 / $562.34	Facility		$190.55	$316.23	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $288.40	Professional		$239.88	$269.15	$288.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $371.54 / $1,288.25	Facility		$239.88	$371.54	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $1,288.25	Professional		$239.88	$371.54	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $302.00 / $645.65	Facility		$151.36	$302.00	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $218.78 / $331.13	Professional		$199.53	$218.78	$331.13