Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.15 / $463.15 / $463.15	Facility		$463.15	$463.15	$463.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.07 / $463.15 / $620.20	Professional		$401.07	$463.15	$620.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $769.99 / $769.99 / $769.99	Facility		$769.99	$769.99	$769.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $603.26 / $603.26 / $603.26	Professional		$603.26	$603.26	$603.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $545.52 / $545.52 / $545.52	Professional		$545.52	$545.52	$545.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.96 / $647.96 / $647.96	Facility		$647.96	$647.96	$647.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.01 / $647.96 / $686.75	Professional		$473.01	$647.96	$686.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.29 / $650.04 / $863.17	Professional		$549.29	$650.04	$863.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $431.81 / $553.91 / $784.72	Facility		$431.81	$553.91	$784.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $608.09 / $608.09 / $608.09	Professional		$608.09	$608.09	$608.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $49.40 / $87.46 / $646.65	Facility		$49.40	$87.46	$646.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $87.46 / $646.65	Professional		$49.40	$87.46	$646.65
United Facility/Professional Professional Modifier Low / Median / High Price $361.19 / $387.99 / $633.66	Professional		$361.19	$387.99	$633.66