Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $380.19 / $380.19	Facility		$371.54	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $602.56	Professional		$309.03	$371.54	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $776.25	Facility		$724.44	$724.44	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $912.01	Professional		$436.52	$436.52	$912.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $501.19	Professional		$380.19	$380.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $457.09 / $457.09	Facility		$302.00	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $457.09	Professional		$331.13	$331.13	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,023.29	Professional		$501.19	$724.44	$1,023.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $707.95	Professional		$426.58	$478.63	$707.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $537.03 / $954.99	Facility		$309.03	$537.03	$954.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $467.74	Professional		$389.05	$426.58	$467.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $588.84 / $1,548.82	Facility		$389.05	$588.84	$1,548.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $1,548.82	Professional		$389.05	$588.84	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $537.03 / $1,122.02	Facility		$269.15	$537.03	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $354.81 / $549.54	Professional		$331.13	$354.81	$549.54