Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $323.59 / $446.68	Professional		$281.84	$323.59	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $512.86	Professional		$426.58	$426.58	$512.86
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 $354.81 / $354.81 / $467.74	Facility		$354.81	$354.81	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $467.74	Professional		$302.00	$354.81	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $616.60	Professional		$389.05	$446.68	$616.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $323.59 / $707.95	Facility		$218.78	$323.59	$707.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $323.59 / $616.60	Facility		$34.67	$323.59	$616.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $302.00 / $588.84	Professional		$34.67	$302.00	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $229.09 / $331.13	Facility		$27.54	$229.09	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $501.19	Professional		$269.15	$316.23	$501.19