Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.93 / $432.40 / $432.40	Facility		$357.93	$432.40	$432.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.93 / $432.40 / $499.43	Professional		$357.93	$432.40	$499.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $874.53 / $874.53 / $928.75	Facility		$874.53	$874.53	$928.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.17 / $526.17 / $682.71	Professional		$526.17	$526.17	$682.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $469.00 / $469.00 / $597.82	Professional		$469.00	$469.00	$597.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $565.73 / $565.73 / $565.73	Facility		$565.73	$565.73	$565.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.98 / $412.98 / $565.73	Professional		$412.98	$412.98	$565.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.16 / $787.08 / $1,049.44	Professional		$612.16	$787.08	$1,049.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.66 / $537.85 / $995.50	Facility		$281.66	$537.85	$995.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $604.00 / $1,148.70 / $1,456.68	Professional		$604.00	$1,148.70	$1,456.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $479.13 / $660.00 / $1,093.16	Facility		$479.13	$660.00	$1,093.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $479.13 / $660.00 / $1,093.16	Professional		$479.13	$660.00	$1,093.16
United Facility/Professional Professional Modifier Low / Median / High Price $394.33 / $436.30 / $657.21	Professional		$394.33	$436.30	$657.21