Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.73 / $391.09 / $391.09	Facility		$323.73	$391.09	$391.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.73 / $391.09 / $451.72	Professional		$323.73	$391.09	$451.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.98 / $790.98 / $840.02	Facility		$790.98	$790.98	$840.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.00 / $481.00 / $622.58	Professional		$481.00	$481.00	$622.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $424.00 / $424.00 / $424.00	Professional		$424.00	$424.00	$424.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $494.25 / $494.25	Facility		$494.25	$494.25	$494.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $360.80 / $494.25	Professional		$360.80	$360.80	$494.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $553.69 / $711.88 / $949.18	Professional		$553.69	$711.88	$949.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $254.75 / $486.47 / $924.89	Facility		$254.75	$486.47	$924.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $988.73 / $1,317.52	Professional		$532.00	$988.73	$1,317.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $433.36 / $596.95 / $988.73	Facility		$433.36	$596.95	$988.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $433.36 / $596.95 / $988.73	Professional		$433.36	$596.95	$988.73
United Facility/Professional Professional Modifier Low / Median / High Price $356.66 / $394.61 / $594.42	Professional		$356.66	$394.61	$594.42