Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.22 / $464.22 / $464.22	Facility		$464.22	$464.22	$464.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.31 / $464.22 / $571.92	Professional		$368.31	$464.22	$571.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $751.10 / $751.10 / $751.10	Facility		$751.10	$751.10	$751.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.95 / $552.95 / $552.95	Professional		$552.95	$552.95	$552.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $460.38 / $460.38 / $513.45	Professional		$460.38	$460.38	$513.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $461.38 / $461.38 / $732.78	Facility		$461.38	$461.38	$732.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.17 / $392.17 / $530.85	Professional		$392.17	$392.17	$530.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.77 / $638.44 / $826.21	Professional		$525.77	$638.44	$826.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $205.62 / $409.21 / $751.10	Facility		$205.62	$409.21	$751.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $417.00 / $417.00 / $417.00	Professional		$417.00	$417.00	$417.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.30 / $85.94 / $618.96	Facility		$46.30	$85.94	$618.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $46.30 / $85.94 / $618.96	Professional		$46.30	$85.94	$618.96
United Facility/Professional Professional Modifier Low / Median / High Price $311.86 / $374.72 / $490.82	Professional		$311.86	$374.72	$490.82