Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.34 / $437.72 / $437.72	Facility		$362.34	$437.72	$437.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.34 / $437.72 / $530.33	Professional		$362.34	$437.72	$530.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $885.30 / $885.30 / $940.19	Facility		$885.30	$885.30	$940.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.72 / $487.72 / $626.80	Professional		$487.72	$487.72	$626.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $475.00 / $605.19	Professional		$475.00	$475.00	$605.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.14 / $501.14 / $501.14	Facility		$501.14	$501.14	$501.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.83 / $365.83 / $501.14	Professional		$365.83	$365.83	$501.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $619.71 / $796.77 / $1,062.35	Professional		$619.71	$796.77	$1,062.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $258.31 / $544.48 / $993.34	Facility		$258.31	$544.48	$993.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $484.00 / $1,106.63 / $1,474.62	Professional		$484.00	$1,106.63	$1,474.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $485.03 / $668.13 / $1,106.63	Facility		$485.03	$668.13	$1,106.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $485.03 / $668.13 / $1,106.63	Professional		$485.03	$668.13	$1,106.63
United Facility/Professional Professional Modifier Low / Median / High Price $363.30 / $441.67 / $665.32	Professional		$363.30	$441.67	$665.32