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 $189.31 / $204.97 / $227.42	Professional		$189.31	$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 $258.69 / $258.69 / $323.38	Professional		$258.69	$258.69	$323.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $298.77 / $298.77 / $298.77	Professional		$298.77	$298.77	$298.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $277.45 / $277.45	Facility		$277.45	$277.45	$277.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $202.54 / $277.45	Professional		$202.54	$202.54	$277.45
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 $207.16 / $277.33 / $432.36	Facility		$207.16	$277.33	$432.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $297.14 / $510.49 / $647.36	Professional		$297.14	$510.49	$647.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $212.93 / $304.18 / $463.84	Facility		$212.93	$304.18	$463.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $212.93 / $304.18 / $463.84	Professional		$212.93	$304.18	$463.84
United Facility/Professional Professional Modifier Low / Median / High Price $184.03 / $193.89 / $334.14	Professional		$184.03	$193.89	$334.14