Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.09 / $517.09 / $517.09	Facility		$517.09	$517.09	$517.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.69 / $517.09 / $640.86	Professional		$412.69	$517.09	$640.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $841.62 / $841.62 / $841.62	Facility		$841.62	$841.62	$841.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $619.36 / $619.36 / $619.36	Professional		$619.36	$619.36	$619.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $515.87 / $515.87 / $575.33	Professional		$515.87	$515.87	$575.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.79 / $516.79 / $821.10	Facility		$516.79	$516.79	$821.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.27 / $516.79 / $736.20	Professional		$439.27	$516.79	$736.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $589.13 / $715.38 / $925.78	Professional		$589.13	$715.38	$925.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $267.23 / $458.53 / $841.62	Facility		$267.23	$458.53	$841.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $629.00 / $629.00 / $629.00	Professional		$629.00	$629.00	$629.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $481.31 / $763.98	Facility		$55.15	$481.31	$763.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $350.60 / $733.56	Professional		$55.15	$350.60	$733.56
United Facility/Professional Professional Modifier Low / Median / High Price $350.82 / $419.88 / $663.85	Professional		$350.82	$419.88	$663.85