Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.65 / $446.56 / $446.56	Facility		$369.65	$446.56	$446.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.65 / $446.56 / $497.00	Professional		$369.65	$446.56	$497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $903.16 / $903.16 / $959.16	Facility		$903.16	$903.16	$959.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.69 / $502.69 / $643.15	Professional		$502.69	$502.69	$643.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $543.13 / $543.13 / $617.39	Professional		$543.13	$543.13	$617.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.88 / $576.88 / $576.88	Facility		$576.88	$576.88	$576.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $421.12 / $576.88	Professional		$421.12	$421.12	$576.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $632.21 / $812.84 / $1,083.79	Professional		$632.21	$812.84	$1,083.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $266.24 / $548.20 / $1,009.15	Facility		$266.24	$548.20	$1,009.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $652.70 / $1,128.95 / $1,504.37	Professional		$652.70	$1,128.95	$1,504.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $494.82 / $681.61 / $1,128.95	Facility		$494.82	$681.61	$1,128.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $494.82 / $681.61 / $1,128.95	Professional		$494.82	$681.61	$1,128.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,102.16 / $1,102.16 / $1,322.59	Facility		$1,102.16	$1,102.16	$1,322.59
United Facility/Professional Professional Modifier Low / Median / High Price $381.29 / $450.58 / $718.21	Professional		$381.29	$450.58	$718.21