Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $380.19 / $977.24	Facility		$316.23	$380.19	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $676.08	Professional		$331.13	$426.58	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $831.76	Facility		$776.25	$776.25	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $977.24	Professional		$467.74	$467.74	$977.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $537.03	Professional		$407.38	$407.38	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $549.54 / $549.54	Facility		$398.11	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $549.54	Professional		$398.11	$398.11	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,096.48	Professional		$549.54	$776.25	$1,096.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $512.86 / $776.25	Professional		$467.74	$512.86	$776.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $537.03 / $1,047.13	Facility		$316.23	$537.03	$1,047.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $977.24	Professional		$416.87	$512.86	$977.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $630.96 / $1,698.24	Facility		$416.87	$630.96	$1,698.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $1,698.24	Professional		$416.87	$630.96	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $380.19 / $1,047.13	Facility		$257.04	$380.19	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $380.19 / $616.60	Professional		$346.74	$380.19	$616.60