Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.26 / $213.26 / $215.53	Facility		$213.26	$213.26	$215.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.20 / $213.26 / $263.26	Professional		$191.20	$213.26	$263.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.17 / $513.17 / $631.00	Professional		$513.17	$513.17	$631.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $270.19 / $270.19 / $276.42	Professional		$270.19	$270.19	$276.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $252.68 / $252.68	Facility		$252.68	$252.68	$252.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $194.10 / $252.68	Professional		$194.10	$194.10	$252.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.06 / $363.93 / $485.24	Professional		$283.06	$363.93	$485.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.22 / $256.48 / $460.30	Facility		$130.22	$256.48	$460.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $226.00 / $531.13 / $673.54	Professional		$226.00	$531.13	$673.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $221.54 / $305.17 / $462.73	Facility		$221.54	$305.17	$462.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $221.54 / $305.17 / $462.73	Professional		$221.54	$305.17	$462.73
United Facility/Professional Professional Modifier Low / Median / High Price $182.33 / $201.73 / $310.86	Professional		$182.33	$201.73	$310.86