Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.28 / $388.28 / $388.28	Facility		$388.28	$388.28	$388.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.68 / $388.28 / $540.40	Professional		$301.68	$388.28	$540.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.35 / $645.35 / $645.35	Facility		$645.35	$645.35	$645.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.56 / $510.56 / $510.56	Professional		$510.56	$510.56	$510.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $651.86 / $651.86 / $667.92	Professional		$651.86	$651.86	$667.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.79 / $459.79 / $604.09	Facility		$459.79	$459.79	$604.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.82 / $459.79 / $473.58	Professional		$390.82	$459.79	$473.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $523.41 / $628.09 / $814.00	Professional		$523.41	$628.09	$814.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $319.77 / $746.25	Facility		$96.70	$319.77	$746.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $842.98 / $842.98 / $842.98	Professional		$842.98	$842.98	$842.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $362.39 / $842.98	Facility		$44.00	$362.39	$842.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $299.10 / $824.13	Professional		$44.00	$299.10	$824.13
United Facility/Professional Professional Modifier Low / Median / High Price $289.54 / $359.05 / $642.27	Professional		$289.54	$359.05	$642.27