Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.86 / $386.86 / $386.86	Facility		$386.86	$386.86	$386.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.93 / $386.86 / $476.62	Professional		$306.93	$386.86	$476.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.92 / $625.92 / $625.92	Facility		$625.92	$625.92	$625.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.79 / $460.79 / $460.79	Professional		$460.79	$460.79	$460.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $383.66 / $383.66 / $427.88	Professional		$383.66	$383.66	$427.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.90 / $353.90 / $353.90	Facility		$353.90	$353.90	$353.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.82 / $300.82 / $442.38	Professional		$300.82	$300.82	$442.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $438.15 / $532.04 / $688.52	Professional		$438.15	$532.04	$688.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $171.35 / $341.02 / $625.92	Facility		$171.35	$341.02	$625.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $403.00 / $403.00 / $403.00	Professional		$403.00	$403.00	$403.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $41.26 / $71.61 / $515.80	Facility		$41.26	$71.61	$515.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $41.26 / $71.61 / $515.80	Professional		$41.26	$71.61	$515.80
United Facility/Professional Professional Modifier Low / Median / High Price $228.47 / $309.67 / $380.78	Professional		$228.47	$309.67	$380.78