Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $338.84 / $478.63	Professional		$295.12	$338.84	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $537.03	Professional		$457.09	$457.09	$537.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $478.63	Facility		$380.19	$380.19	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $478.63	Professional		$316.23	$380.19	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $645.65	Professional		$407.38	$467.74	$645.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $338.84 / $741.31	Facility		$234.42	$338.84	$741.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $338.84 / $660.69	Facility		$36.31	$338.84	$660.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $316.23 / $630.96	Professional		$36.31	$316.23	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $245.47 / $354.81	Facility		$28.84	$245.47	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $524.81	Professional		$281.84	$331.13	$524.81