Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $575.44	Professional		$295.12	$363.08	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $707.95	Facility		$676.08	$676.08	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $831.76	Professional		$398.11	$398.11	$831.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $457.09	Professional		$354.81	$354.81	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $407.38 / $407.38	Facility		$316.23	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $407.38	Professional		$302.00	$302.00	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $933.25	Professional		$467.74	$676.08	$933.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $436.52 / $660.69	Professional		$426.58	$436.52	$660.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $489.78 / $870.96	Facility		$281.84	$489.78	$870.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $416.87 / $436.52	Professional		$363.08	$416.87	$436.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $549.54 / $1,445.44	Facility		$363.08	$549.54	$1,445.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $1,445.44	Professional		$363.08	$549.54	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $489.78 / $891.25	Facility		$245.47	$489.78	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $331.13 / $501.19	Professional		$309.03	$331.13	$501.19