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 $245.47 / $302.00 / $501.19	Professional		$245.47	$302.00	$501.19
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 $346.74 / $346.74 / $724.44	Professional		$346.74	$346.74	$724.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $398.11	Professional		$302.00	$302.00	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $478.63 / $478.63	Facility		$309.03	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $478.63	Professional		$346.74	$346.74	$478.63
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 $371.54 / $380.19 / $575.44	Professional		$371.54	$380.19	$575.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $389.05 / $812.83	Facility		$234.42	$389.05	$812.83
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 / $478.63 / $1,288.25	Facility		$309.03	$478.63	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $1,288.25	Professional		$309.03	$478.63	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $281.84 / $776.25	Facility		$190.55	$281.84	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $281.84 / $457.09	Professional		$257.04	$281.84	$457.09