Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.30 / $492.30 / $492.30	Facility		$492.30	$492.30	$492.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.21 / $492.30 / $658.32	Professional		$371.21	$492.30	$658.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $747.30 / $747.30 / $747.30	Facility		$747.30	$747.30	$747.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $649.41 / $649.41 / $649.41	Professional		$649.41	$649.41	$649.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $674.05 / $674.05 / $674.05	Professional		$674.05	$674.05	$674.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.96 / $407.96 / $590.76	Facility		$407.96	$407.96	$590.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.77 / $407.96 / $420.20	Professional		$346.77	$407.96	$420.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $483.22 / $579.86 / $766.70	Professional		$483.22	$579.86	$766.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.12 / $371.21 / $796.18	Facility		$103.12	$371.21	$796.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $899.39 / $899.39 / $899.39	Professional		$899.39	$899.39	$899.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $55.79 / $359.00 / $925.08	Facility		$55.79	$359.00	$925.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $52.51 / $107.06 / $898.49	Professional		$52.51	$107.06	$898.49
United Facility/Professional Professional Modifier Low / Median / High Price $351.92 / $436.85 / $685.25	Professional		$351.92	$436.85	$685.25