Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.21 / $488.32 / $488.32	Facility		$404.21	$488.32	$488.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.50 / $488.32 / $708.06	Professional		$386.50	$488.32	$708.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $987.62 / $987.62 / $1,048.84	Facility		$987.62	$987.62	$1,048.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.83 / $544.83 / $703.30	Professional		$544.83	$544.83	$703.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $600.84 / $600.84 / $675.13	Professional		$600.84	$600.84	$675.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.11 / $710.11 / $710.11	Facility		$710.11	$710.11	$710.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $518.38 / $518.38	Professional		$518.38	$518.38	$518.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.33 / $888.86 / $1,185.14	Professional		$691.33	$888.86	$1,185.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $291.14 / $578.02 / $1,103.52	Facility		$291.14	$578.02	$1,103.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $1,234.53 / $1,645.05	Professional		$612.00	$1,234.53	$1,645.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $541.09 / $747.56 / $1,236.65	Facility		$541.09	$747.56	$1,236.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $541.09 / $747.56 / $1,236.65	Professional		$541.09	$747.56	$1,236.65
United Facility/Professional Professional Modifier Low / Median / High Price $416.96 / $492.71 / $742.21	Professional		$416.96	$492.71	$742.21