Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.10 / $396.37 / $396.37	Facility		$328.10	$396.37	$396.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.10 / $396.37 / $529.61	Professional		$328.10	$396.37	$529.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $801.65 / $801.65 / $851.35	Facility		$801.65	$801.65	$851.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.21 / $537.21 / $660.55	Professional		$537.21	$537.21	$660.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $430.00 / $430.00 / $548.00	Professional		$430.00	$430.00	$548.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.51 / $544.74 / $544.74	Facility		$428.51	$544.74	$544.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $397.66 / $544.74	Professional		$397.66	$397.66	$544.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $561.16 / $721.49 / $961.98	Professional		$561.16	$721.49	$961.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $258.19 / $493.02 / $912.54	Facility		$258.19	$493.02	$912.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $519.00 / $1,002.06 / $1,335.29	Professional		$519.00	$1,002.06	$1,335.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $439.19 / $604.99 / $1,002.06	Facility		$439.19	$604.99	$1,002.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $439.19 / $604.99 / $1,002.06	Professional		$439.19	$604.99	$1,002.06
United Facility/Professional Professional Modifier Low / Median / High Price $361.46 / $399.93 / $602.44	Professional		$361.46	$399.93	$602.44