Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $223.87 / $223.87	Facility		$218.78	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $371.54	Professional		$181.97	$223.87	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $1,122.02	Professional		$537.03	$537.03	$1,122.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $295.12	Professional		$275.42	$275.42	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $371.54 / $371.54	Facility		$173.78	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $371.54	Professional		$316.23	$316.23	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $602.56	Professional		$302.00	$426.58	$602.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $416.87	Professional		$208.93	$281.84	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $316.23 / $575.44	Facility		$181.97	$316.23	$575.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $257.04 / $281.84	Professional		$229.09	$257.04	$281.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $346.74 / $616.60	Facility		$229.09	$346.74	$616.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $616.60	Professional		$229.09	$346.74	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $275.42 / $323.59	Facility		$158.49	$275.42	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $323.59	Professional		$194.98	$208.93	$323.59