Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $512.86 / $512.86	Facility		$501.19	$512.86	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $812.83	Professional		$416.87	$501.19	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,023.29	Facility		$977.24	$977.24	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $1,202.26	Professional		$575.44	$575.44	$1,202.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $660.69	Professional		$512.86	$512.86	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $602.56 / $602.56	Facility		$407.38	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $602.56	Professional		$436.52	$436.52	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,348.96	Professional		$676.08	$977.24	$1,348.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $954.99	Professional		$478.63	$630.96	$954.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $724.44 / $1,288.25	Facility		$416.87	$724.44	$1,288.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $588.84 / $630.96	Professional		$524.81	$588.84	$630.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $794.33 / $2,089.30	Facility		$524.81	$794.33	$2,089.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $2,089.30	Professional		$524.81	$794.33	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $724.44 / $1,288.25	Facility		$363.08	$724.44	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $478.63 / $741.31	Professional		$446.68	$478.63	$741.31