Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $354.81	Facility		$295.12	$295.12	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $323.59 / $436.52	Professional		$281.84	$323.59	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $741.31	Professional		$295.12	$407.38	$741.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $2,951.21	Professional		$302.00	$371.54	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $676.08	Professional		$302.00	$426.58	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $457.09	Professional		$239.88	$371.54	$457.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $354.81 / $588.84	Facility		$288.40	$354.81	$588.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $426.58 / $870.96	Facility		$302.00	$426.58	$870.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $891.25	Professional		$309.03	$436.52	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $660.69	Professional		$263.03	$416.87	$660.69