Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $645.65	Professional		$316.23	$426.58	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $870.96	Facility		$812.83	$812.83	$870.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $933.25	Professional		$446.68	$446.68	$933.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $562.34	Professional		$426.58	$426.58	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $457.09 / $457.09	Facility		$331.13	$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 $575.44 / $812.83 / $1,148.15	Professional		$575.44	$812.83	$1,148.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $812.83	Professional		$363.08	$537.03	$812.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $549.54 / $1,000.00	Facility		$316.23	$549.54	$1,000.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $537.03	Professional		$436.52	$436.52	$537.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $676.08 / $1,778.28	Facility		$436.52	$676.08	$1,778.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,778.28	Professional		$436.52	$676.08	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $549.54 / $1,000.00	Facility		$275.42	$549.54	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $398.11 / $602.56	Professional		$363.08	$398.11	$602.56