Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.60 / $157.60 / $159.65	Facility		$157.60	$157.60	$159.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.36 / $157.60 / $300.97	Professional		$128.36	$157.60	$300.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.80 / $304.80 / $374.78	Professional		$304.80	$304.80	$374.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $303.42 / $303.42 / $303.42	Professional		$303.42	$303.42	$303.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.61 / $482.61 / $482.61	Facility		$482.61	$482.61	$482.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $410.22 / $482.61	Professional		$410.22	$410.22	$482.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $242.63 / $326.44	Professional		$200.40	$242.63	$326.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $157.60 / $177.54 / $418.95	Facility		$157.60	$177.54	$418.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $206.80 / $391.15 / $544.78	Professional		$206.80	$391.15	$544.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $197.01 / $301.06 / $510.56	Facility		$197.01	$301.06	$510.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $197.01 / $301.06 / $510.56	Professional		$197.01	$301.06	$510.56
United Facility/Professional Professional Modifier Low / Median / High Price $147.75 / $183.22 / $385.24	Professional		$147.75	$183.22	$385.24