Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $281.84 / $724.44	Facility		$234.42	$281.84	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $512.86	Professional		$234.42	$281.84	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $616.60	Facility		$575.44	$575.44	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $660.69	Professional		$316.23	$316.23	$660.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $398.11	Professional		$363.08	$363.08	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $323.59 / $323.59	Facility		$245.47	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $323.59	Professional		$239.88	$239.88	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $812.83	Professional		$407.38	$575.44	$812.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $389.05	Professional		$295.12	$389.05	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $371.54 / $724.44	Facility		$234.42	$371.54	$724.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $724.44	Professional		$309.03	$380.19	$724.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $501.19 / $1,659.59	Facility		$309.03	$501.19	$1,659.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $1,659.59	Professional		$309.03	$501.19	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $257.04 / $831.76	Facility		$177.83	$257.04	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $281.84 / $467.74	Professional		$257.04	$281.84	$467.74