Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.45 / $360.45 / $364.29	Facility		$360.45	$360.45	$364.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.11 / $360.45 / $372.57	Professional		$302.11	$360.45	$372.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $683.45 / $683.45 / $725.82	Facility		$683.45	$683.45	$725.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.85 / $345.85 / $448.87	Professional		$345.85	$345.85	$448.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $366.00 / $366.00 / $467.20	Professional		$366.00	$366.00	$467.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.32 / $493.58 / $493.58	Facility		$365.32	$493.58	$493.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.31 / $360.31 / $493.58	Professional		$360.31	$360.31	$493.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.42 / $615.11 / $820.14	Professional		$478.42	$615.11	$820.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $184.31 / $420.33 / $766.83	Facility		$184.31	$420.33	$766.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $322.00 / $897.72 / $1,138.41	Professional		$322.00	$897.72	$1,138.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $374.44 / $513.61 / $854.31	Facility		$374.44	$513.61	$854.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $374.44 / $513.61 / $854.31	Professional		$374.44	$513.61	$854.31
United Facility/Professional Facility Modifier Low / Median / High Price $763.01 / $763.01 / $915.61	Facility		$763.01	$763.01	$915.61
United Facility/Professional Professional Modifier Low / Median / High Price $308.17 / $340.96 / $489.15	Professional		$308.17	$340.96	$489.15