Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.12 / $324.12 / $327.57	Facility		$324.12	$324.12	$327.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $324.12 / $369.10	Professional		$301.35	$324.12	$369.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.54 / $614.54 / $652.65	Facility		$614.54	$614.54	$652.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.72 / $373.72 / $478.93	Professional		$373.72	$373.72	$478.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $344.40 / $420.11	Professional		$330.00	$344.40	$420.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.18 / $452.18 / $452.18	Facility		$452.18	$452.18	$452.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $330.09 / $452.18	Professional		$330.09	$330.09	$452.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.19 / $553.10 / $737.46	Professional		$430.19	$553.10	$737.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $197.93 / $377.96 / $699.56	Facility		$197.93	$377.96	$699.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.00 / $807.22 / $1,023.65	Professional		$346.00	$807.22	$1,023.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $336.69 / $463.80 / $768.19	Facility		$336.69	$463.80	$768.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $336.69 / $463.80 / $768.19	Professional		$336.69	$463.80	$768.19
United Facility/Professional Facility Modifier Low / Median / High Price $819.40 / $819.40 / $983.28	Facility		$819.40	$819.40	$983.28
United Facility/Professional Professional Modifier Low / Median / High Price $285.74 / $306.58 / $472.45	Professional		$285.74	$306.58	$472.45