Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.97 / $204.97 / $207.16	Facility		$204.97	$204.97	$207.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $204.97 / $227.42	Professional		$125.60	$204.97	$227.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $388.65 / $388.65 / $412.75	Facility		$388.65	$388.65	$412.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.11 / $278.11 / $341.96	Professional		$278.11	$278.11	$341.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $265.68	Professional		$208.00	$208.00	$265.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $296.00 / $301.92	Facility		$296.00	$296.00	$301.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $216.08 / $296.00	Professional		$216.08	$216.08	$296.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.06 / $349.79 / $466.38	Professional		$272.06	$349.79	$466.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.95 / $246.01 / $442.40	Facility		$121.95	$246.01	$442.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.00 / $510.49 / $647.36	Professional		$223.00	$510.49	$647.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $212.93 / $292.07 / $485.81	Facility		$212.93	$292.07	$485.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $212.93 / $292.07 / $485.81	Professional		$212.93	$292.07	$485.81
United Facility/Professional Professional Modifier Low / Median / High Price $181.78 / $193.89 / $334.14	Professional		$181.78	$193.89	$334.14