Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.61 / $380.07 / $380.07	Facility		$314.61	$380.07	$380.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.61 / $380.07 / $427.88	Professional		$314.61	$380.07	$427.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $768.69 / $768.69 / $816.35	Facility		$768.69	$768.69	$816.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.84 / $463.84 / $570.33	Professional		$463.84	$463.84	$570.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $412.00 / $412.00 / $525.47	Professional		$412.00	$412.00	$525.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.89 / $450.57 / $450.57	Facility		$410.89	$450.57	$450.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.92 / $328.92 / $450.57	Professional		$328.92	$328.92	$450.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $538.08 / $691.82 / $922.43	Professional		$538.08	$691.82	$922.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $232.24 / $472.75 / $875.02	Facility		$232.24	$472.75	$875.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $448.00 / $960.86 / $1,280.39	Professional		$448.00	$960.86	$1,280.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $421.14 / $580.12 / $960.86	Facility		$421.14	$580.12	$960.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $421.14 / $580.12 / $960.86	Professional		$421.14	$580.12	$960.86
United Facility/Professional Professional Modifier Low / Median / High Price $326.64 / $383.49 / $576.19	Professional		$326.64	$383.49	$576.19