Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $575.44 / $954.99	Facility		$323.59	$575.44	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $549.54 / $812.83	Professional		$323.59	$549.54	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $812.83	Facility		$776.25	$776.25	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,445.44	Professional		$691.83	$691.83	$1,445.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $741.31	Professional		$645.65	$741.31	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $741.31 / $741.31	Facility		$524.81	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $741.31	Professional		$537.03	$537.03	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $1,258.93	Professional		$512.86	$691.83	$1,258.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $660.69 / $1,174.90	Facility		$323.59	$660.69	$1,174.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $724.44 / $954.99	Professional		$645.65	$724.44	$954.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $912.01 / $1,548.82	Facility		$588.84	$912.01	$1,548.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $912.01 / $1,548.82	Professional		$588.84	$912.01	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $524.81 / $1,412.54	Facility		$380.19	$524.81	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $588.84 / $954.99	Professional		$537.03	$588.84	$954.99