Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.84 / $228.84 / $231.27	Facility		$228.84	$228.84	$231.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.33 / $228.84 / $253.90	Professional		$211.33	$228.84	$253.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $433.90 / $433.90 / $460.80	Facility		$433.90	$433.90	$460.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.12 / $267.12 / $333.92	Professional		$267.12	$267.12	$333.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $263.98 / $263.98 / $296.61	Professional		$263.98	$263.98	$296.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $286.80 / $286.80	Facility		$286.80	$286.80	$286.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $209.36 / $209.36	Professional		$209.36	$209.36	$209.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.73 / $390.51 / $520.67	Professional		$303.73	$390.51	$520.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $127.91 / $266.86 / $484.84	Facility		$127.91	$266.86	$484.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $327.10 / $569.92 / $722.73	Professional		$327.10	$569.92	$722.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $237.73 / $333.58 / $554.35	Facility		$237.73	$333.58	$554.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $237.73 / $333.58 / $554.35	Professional		$237.73	$333.58	$554.35
United Facility/Professional Professional Modifier Low / Median / High Price $195.65 / $216.47 / $326.08	Professional		$195.65	$216.47	$326.08