Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $257.04	Facility		$245.47	$245.47	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $323.59	Professional		$245.47	$245.47	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $436.52	Professional		$257.04	$257.04	$436.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $380.19	Professional		$251.19	$251.19	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $245.47	Facility		$229.09	$229.09	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $416.87	Professional		$120.23	$173.78	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $257.04 / $416.87	Facility		$245.47	$257.04	$416.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $245.47 / $467.74	Professional		$109.65	$245.47	$467.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $245.47 / $912.01	Facility		$204.17	$245.47	$912.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $912.01	Professional		$204.17	$245.47	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $269.15	Professional		$125.89	$213.80	$269.15