Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $489.78 / $489.78	Facility		$457.09	$489.78	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $691.83	Professional		$416.87	$489.78	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $741.31	Professional		$562.34	$562.34	$741.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $575.44	Facility		$549.54	$549.54	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $549.54 / $562.34	Professional		$66.07	$549.54	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $1,023.29	Professional		$616.60	$741.31	$1,023.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $489.78 / $891.25	Facility		$77.62	$489.78	$891.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $489.78 / $2,570.40	Facility		$60.26	$489.78	$2,570.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $489.78 / $2,570.40	Professional		$60.26	$489.78	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $380.19 / $645.65	Facility		$48.98	$380.19	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $1,047.13	Professional		$446.68	$524.81	$1,047.13