Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.61 / $539.61 / $539.61	Facility		$539.61	$539.61	$539.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.45 / $539.61 / $733.31	Professional		$320.45	$539.61	$733.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $897.12 / $897.12 / $897.12	Facility		$897.12	$897.12	$897.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.76 / $699.76 / $699.76	Professional		$699.76	$699.76	$699.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $691.39 / $691.39 / $691.39	Professional		$691.39	$691.39	$691.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.42 / $581.42 / $763.12	Facility		$581.42	$581.42	$763.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.22 / $581.42 / $763.12	Professional		$494.22	$581.42	$763.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $603.13 / $723.75 / $956.96	Professional		$603.13	$723.75	$956.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $311.13 / $480.21 / $1,136.49	Facility		$311.13	$480.21	$1,136.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $732.00 / $732.00 / $732.00	Professional		$732.00	$732.00	$732.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $61.01 / $110.10 / $878.47	Facility		$61.01	$110.10	$878.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $110.10 / $878.47	Professional		$57.56	$110.10	$878.47
United Facility/Professional Professional Modifier Low / Median / High Price $436.61 / $511.18 / $742.65	Professional		$436.61	$511.18	$742.65