Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $323.59 / $831.76	Facility		$263.03	$323.59	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $537.03	Professional		$245.47	$302.00	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $707.95	Facility		$660.69	$660.69	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $630.96	Professional		$302.00	$302.00	$630.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $457.09	Professional		$346.74	$346.74	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $316.23 / $316.23	Facility		$213.80	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $316.23	Professional		$234.42	$234.42	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $933.25	Professional		$467.74	$660.69	$933.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $645.65	Professional		$316.23	$436.52	$645.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $426.58 / $776.25	Facility		$239.88	$426.58	$776.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $831.76	Professional		$295.12	$354.81	$831.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $537.03 / $1,412.54	Facility		$354.81	$537.03	$1,412.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $1,412.54	Professional		$354.81	$537.03	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $251.19 / $691.83	Facility		$169.82	$251.19	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $512.86	Professional		$251.19	$323.59	$512.86