Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.45 / $371.45 / $886.48	Facility		$371.45	$371.45	$886.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.47 / $371.45 / $476.43	Professional		$307.47	$371.45	$476.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $751.25 / $751.25 / $797.83	Facility		$751.25	$751.25	$797.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.23 / $439.23 / $549.08	Professional		$439.23	$439.23	$549.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $457.04 / $457.04 / $513.54	Professional		$457.04	$457.04	$513.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.53 / $488.53 / $488.53	Facility		$488.53	$488.53	$488.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $356.63 / $656.24	Professional		$356.63	$356.63	$656.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.88 / $676.13 / $901.50	Professional		$525.88	$676.13	$901.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $232.26 / $438.47 / $895.20	Facility		$232.26	$438.47	$895.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $598.58 / $1,034.43 / $1,251.33	Professional		$598.58	$1,034.43	$1,251.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $433.36 / $619.08 / $1,032.88	Facility		$433.36	$619.08	$1,032.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $433.36 / $619.08 / $1,032.88	Professional		$433.36	$619.08	$1,032.88
United Facility/Professional Professional Modifier Low / Median / High Price $338.74 / $374.79 / $645.89	Professional		$338.74	$374.79	$645.89