Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.43 / $356.90 / $356.90	Facility		$295.43	$356.90	$356.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.43 / $356.90 / $431.72	Professional		$295.43	$356.90	$431.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $721.83 / $721.83 / $766.58	Facility		$721.83	$721.83	$766.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.02 / $375.02 / $499.33	Professional		$375.02	$375.02	$499.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $387.00 / $387.00 / $387.00	Professional		$387.00	$387.00	$387.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.16 / $400.16 / $400.16	Facility		$400.16	$400.16	$400.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $292.12 / $400.16	Professional		$292.12	$292.12	$400.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.28 / $649.65 / $866.20	Professional		$505.28	$649.65	$866.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $206.26 / $437.08 / $806.53	Facility		$206.26	$437.08	$806.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $902.29 / $1,202.33	Professional		$360.00	$902.29	$1,202.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $395.47 / $542.46 / $902.29	Facility		$395.47	$542.46	$902.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $395.47 / $542.46 / $902.29	Professional		$395.47	$542.46	$902.29
United Facility/Professional Facility Modifier Low / Median / High Price $853.88 / $853.88 / $1,024.66	Facility		$853.88	$853.88	$1,024.66
United Facility/Professional Professional Modifier Low / Median / High Price $295.39 / $360.11 / $541.07	Professional		$295.39	$360.11	$541.07