Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $309.03 / $812.83	Facility		$257.04	$309.03	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $467.74	Professional		$239.88	$309.03	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $691.83	Facility		$645.65	$645.65	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $676.08	Professional		$323.59	$323.59	$676.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $446.68	Professional		$338.84	$338.84	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $331.13 / $331.13	Facility		$229.09	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $331.13	Professional		$239.88	$239.88	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $912.01	Professional		$446.68	$645.65	$912.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $630.96	Professional		$263.03	$426.58	$630.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $416.87 / $758.58	Facility		$239.88	$416.87	$758.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $346.74 / $812.83	Professional		$323.59	$346.74	$812.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $524.81 / $1,380.38	Facility		$346.74	$524.81	$1,380.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $1,380.38	Professional		$346.74	$524.81	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $263.03 / $724.44	Facility		$177.83	$263.03	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $501.19	Professional		$263.03	$316.23	$501.19