Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.83 / $346.83 / $350.52	Facility		$346.83	$346.83	$350.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.47 / $346.83 / $403.64	Professional		$322.47	$346.83	$403.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $657.62 / $657.62 / $698.39	Facility		$657.62	$657.62	$698.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.80 / $401.80 / $521.62	Professional		$401.80	$401.80	$521.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $353.00 / $353.00 / $449.55	Professional		$353.00	$353.00	$449.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.92 / $410.92 / $410.92	Facility		$410.92	$410.92	$410.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $299.97 / $410.92	Professional		$299.97	$299.97	$410.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $460.33 / $591.86 / $789.14	Professional		$460.33	$591.86	$789.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $211.80 / $417.12 / $748.59	Facility		$211.80	$417.12	$748.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $370.00 / $863.78 / $1,095.38	Professional		$370.00	$863.78	$1,095.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $360.29 / $494.21 / $822.03	Facility		$360.29	$494.21	$822.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $360.29 / $494.21 / $822.03	Professional		$360.29	$494.21	$822.03
United Facility/Professional Professional Modifier Low / Median / High Price $296.52 / $328.08 / $505.56	Professional		$296.52	$328.08	$505.56