Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.45 / $373.83 / $373.83	Facility		$309.45	$373.83	$373.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.45 / $373.83 / $519.77	Professional		$309.45	$373.83	$519.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.07 / $756.07 / $802.95	Facility		$756.07	$756.07	$802.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.49 / $460.49 / $589.69	Professional		$460.49	$460.49	$589.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $405.00 / $516.85	Professional		$405.00	$405.00	$516.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.01 / $626.01 / $626.01	Facility		$626.01	$626.01	$626.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.99 / $456.99 / $626.01	Professional		$456.99	$456.99	$626.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $529.25 / $680.46 / $907.28	Professional		$529.25	$680.46	$907.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $243.51 / $465.00 / $860.65	Facility		$243.51	$465.00	$860.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $465.00 / $945.09 / $1,259.36	Professional		$465.00	$945.09	$1,259.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $414.23 / $572.29 / $946.72	Facility		$414.23	$572.29	$946.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $414.23 / $572.29 / $946.72	Professional		$414.23	$572.29	$946.72
United Facility/Professional Professional Modifier Low / Median / High Price $340.92 / $377.20 / $568.20	Professional		$340.92	$377.20	$568.20