Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.87 / $314.87 / $318.22	Facility		$314.87	$314.87	$318.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.26 / $314.87 / $340.95	Professional		$293.26	$314.87	$340.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $597.02 / $597.02 / $634.04	Facility		$597.02	$597.02	$634.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.43 / $412.43 / $515.57	Professional		$412.43	$412.43	$515.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $333.29 / $334.57 / $408.12	Professional		$333.29	$334.57	$408.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.13 / $380.63 / $380.63	Facility		$319.13	$380.63	$380.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $277.86 / $380.63	Professional		$277.86	$277.86	$380.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $417.91 / $537.32 / $716.42	Professional		$417.91	$537.32	$716.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $192.28 / $367.18 / $679.60	Facility		$192.28	$367.18	$679.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $386.00 / $784.19 / $994.44	Professional		$386.00	$784.19	$994.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $327.08 / $450.56 / $747.56	Facility		$327.08	$450.56	$747.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $327.08 / $450.56 / $747.56	Professional		$327.08	$450.56	$747.56
United Facility/Professional Professional Modifier Low / Median / High Price $282.95 / $297.85 / $458.97	Professional		$282.95	$297.85	$458.97