Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.90 / $400.96 / $400.96	Facility		$331.90	$400.96	$400.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.22 / $400.96 / $499.45	Professional		$325.22	$400.96	$499.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $810.94 / $810.94 / $861.22	Facility		$810.94	$810.94	$861.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.70 / $492.70 / $631.98	Professional		$492.70	$492.70	$631.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $435.00 / $435.00 / $554.35	Professional		$435.00	$435.00	$554.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $433.48 / $510.00 / $516.29	Facility		$433.48	$510.00	$516.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $372.30 / $516.29	Professional		$372.30	$372.30	$516.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $567.66 / $729.85 / $973.13	Professional		$567.66	$729.85	$973.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $260.95 / $498.74 / $932.58	Facility		$260.95	$498.74	$932.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $1,013.68 / $1,350.76	Professional		$511.00	$1,013.68	$1,350.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $444.29 / $612.01 / $1,013.68	Facility		$444.29	$612.01	$1,013.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $444.29 / $612.01 / $1,013.68	Professional		$444.29	$612.01	$1,013.68
United Facility/Professional Professional Modifier Low / Median / High Price $365.66 / $404.56 / $609.42	Professional		$365.66	$404.56	$609.42