Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.90 / $206.90 / $209.10	Facility		$206.90	$206.90	$209.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.19 / $206.90 / $209.10	Professional		$165.19	$206.90	$209.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.47 / $432.47 / $531.76	Professional		$432.47	$432.47	$531.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $262.12 / $262.12 / $268.18	Professional		$262.12	$262.12	$268.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $302.83 / $302.83	Facility		$302.83	$302.83	$302.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $257.41 / $302.83	Professional		$257.41	$257.41	$302.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.61 / $353.07 / $470.76	Professional		$274.61	$353.07	$470.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $241.27 / $438.33	Facility		$109.76	$241.27	$438.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $515.29 / $653.45	Professional		$202.00	$515.29	$653.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $214.93 / $296.07 / $448.91	Facility		$214.93	$296.07	$448.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $214.93 / $296.07 / $448.91	Professional		$214.93	$296.07	$448.91
United Facility/Professional Facility Modifier Low / Median / High Price $130.99 / $224.66 / $256.16	Facility		$130.99	$224.66	$256.16
United Facility/Professional Professional Modifier Low / Median / High Price $176.89 / $195.71 / $294.81	Professional		$176.89	$195.71	$294.81