Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $446.68 / $446.68	Facility		$436.52	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $645.65	Professional		$338.84	$436.52	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $912.01	Facility		$851.14	$851.14	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $977.24	Professional		$467.74	$467.74	$977.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $588.84	Professional		$446.68	$446.68	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $575.44 / $575.44	Facility		$371.54	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $575.44	Professional		$416.87	$416.87	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,202.26	Professional		$602.56	$851.14	$1,202.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $831.76	Professional		$380.19	$562.34	$831.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $575.44 / $1,096.48	Facility		$331.13	$575.44	$1,096.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $616.60	Professional		$457.09	$549.54	$616.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $691.83 / $1,819.70	Facility		$457.09	$691.83	$1,819.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,819.70	Professional		$457.09	$691.83	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $575.44 / $1,047.13	Facility		$288.40	$575.44	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $416.87 / $630.96	Professional		$380.19	$416.87	$630.96