Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.48 / $436.69 / $436.69	Facility		$361.48	$436.69	$436.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.48 / $436.69 / $503.98	Professional		$361.48	$436.69	$503.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $883.21 / $883.21 / $937.97	Facility		$883.21	$883.21	$937.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.33 / $505.33 / $659.91	Professional		$505.33	$505.33	$659.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $474.00 / $474.00 / $603.76	Professional		$474.00	$474.00	$603.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $524.34 / $524.34	Facility		$524.34	$524.34	$524.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.77 / $382.77 / $524.34	Professional		$382.77	$382.77	$524.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $618.25 / $794.89 / $1,059.84	Professional		$618.25	$794.89	$1,059.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $270.27 / $543.20 / $990.99	Facility		$270.27	$543.20	$990.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $472.00 / $1,104.01 / $1,471.14	Professional		$472.00	$1,104.01	$1,471.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $483.89 / $666.56 / $1,104.01	Facility		$483.89	$666.56	$1,104.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $483.89 / $666.56 / $1,104.01	Professional		$483.89	$666.56	$1,104.01
United Facility/Professional Professional Modifier Low / Median / High Price $380.12 / $440.62 / $662.03	Professional		$380.12	$440.62	$662.03