Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $549.54	Facility		$398.11	$398.11	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $707.95	Professional		$363.08	$524.81	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $1,122.02	Professional		$537.03	$537.03	$1,122.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $602.56 / $645.65	Professional		$60.26	$602.56	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,148.15	Professional		$741.31	$912.01	$1,148.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $549.54 / $851.14	Facility		$91.20	$549.54	$851.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $512.86	Professional		$426.58	$426.58	$512.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $457.09 / $1,479.11	Facility		$60.26	$457.09	$1,479.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $457.09 / $1,479.11	Professional		$60.26	$457.09	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $288.40 / $512.86	Facility		$30.90	$288.40	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $794.33	Professional		$354.81	$467.74	$794.33