Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $398.11 / $398.11	Facility		$389.05	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $630.96	Professional		$331.13	$389.05	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $812.83	Facility		$758.58	$758.58	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $954.99	Professional		$457.09	$457.09	$954.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $524.81	Professional		$398.11	$398.11	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $524.81 / $524.81	Facility		$346.74	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $524.81	Professional		$389.05	$389.05	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,071.52	Professional		$537.03	$758.58	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $741.31	Professional		$380.19	$501.19	$741.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $549.54 / $1,047.13	Facility		$323.59	$549.54	$1,047.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $524.81	Professional		$407.38	$501.19	$524.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $616.60 / $1,621.81	Facility		$407.38	$616.60	$1,621.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,621.81	Professional		$407.38	$616.60	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $562.34 / $1,000.00	Facility		$275.42	$562.34	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $371.54 / $575.44	Professional		$346.74	$371.54	$575.44