Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $478.63	Professional		$251.19	$363.08	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $741.31	Facility		$691.83	$691.83	$741.31
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 $363.08 / $363.08 / $478.63	Professional		$363.08	$363.08	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $489.78 / $489.78	Facility		$323.59	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $489.78	Professional		$363.08	$363.08	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $977.24	Professional		$489.78	$691.83	$977.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $691.83	Professional		$323.59	$457.09	$691.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $457.09 / $812.83	Facility		$251.19	$457.09	$812.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $457.09	Professional		$338.84	$371.54	$457.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $575.44 / $1,513.56	Facility		$371.54	$575.44	$1,513.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $1,513.56	Professional		$371.54	$575.44	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $426.58 / $776.25	Facility		$213.80	$426.58	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $512.86	Professional		$288.40	$338.84	$512.86