Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.22 / $406.18 / $406.18	Facility		$336.22	$406.18	$406.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.22 / $406.18 / $521.92	Professional		$336.22	$406.18	$521.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.49 / $821.49 / $872.42	Facility		$821.49	$821.49	$872.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.42 / $488.42 / $643.72	Professional		$488.42	$488.42	$643.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $440.00 / $561.57	Professional		$440.00	$440.00	$561.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.34 / $511.34 / $511.34	Facility		$511.34	$511.34	$511.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $373.28 / $511.34	Professional		$373.28	$373.28	$511.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.04 / $739.34 / $985.79	Professional		$575.04	$739.34	$985.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.57 / $505.23 / $935.13	Facility		$263.57	$505.23	$935.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $535.00 / $1,026.85 / $1,368.34	Professional		$535.00	$1,026.85	$1,368.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $450.07 / $619.97 / $1,026.85	Facility		$450.07	$619.97	$1,026.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $450.07 / $619.97 / $1,026.85	Professional		$450.07	$619.97	$1,026.85
United Facility/Professional Facility Modifier Low / Median / High Price $276.74 / $399.74 / $462.96	Facility		$276.74	$399.74	$462.96
United Facility/Professional Professional Modifier Low / Median / High Price $370.42 / $409.83 / $617.36	Professional		$370.42	$409.83	$617.36