Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $537.03	Professional		$263.03	$354.81	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $724.44	Facility		$676.08	$676.08	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $794.33	Professional		$380.19	$380.19	$794.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $467.74	Professional		$363.08	$363.08	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $457.09 / $457.09	Facility		$295.12	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $457.09	Professional		$338.84	$338.84	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $954.99	Professional		$478.63	$676.08	$954.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $676.08	Professional		$407.38	$446.68	$676.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $467.74 / $870.96	Facility		$263.03	$467.74	$870.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $446.68	Professional		$363.08	$363.08	$446.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $562.34 / $1,479.11	Facility		$354.81	$562.34	$1,479.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $1,479.11	Professional		$354.81	$562.34	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $457.09 / $831.76	Facility		$229.09	$457.09	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $501.19	Professional		$302.00	$331.13	$501.19