Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $354.81 / $354.81	Facility		$346.74	$354.81	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $562.34	Professional		$295.12	$346.74	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $707.95	Facility		$676.08	$676.08	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $851.14	Professional		$407.38	$407.38	$851.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $457.09	Professional		$371.54	$371.54	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $436.52 / $436.52	Facility		$288.40	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $436.52	Professional		$316.23	$316.23	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $933.25	Professional		$467.74	$676.08	$933.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $660.69	Professional		$338.84	$436.52	$660.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $478.63 / $851.14	Facility		$288.40	$478.63	$851.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $398.11 / $436.52	Professional		$363.08	$398.11	$436.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $549.54 / $1,445.44	Facility		$363.08	$549.54	$1,445.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $1,445.44	Professional		$363.08	$549.54	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $457.09 / $977.24	Facility		$229.09	$457.09	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $489.78	Professional		$302.00	$331.13	$489.78