Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.73 / $444.73 / $449.46	Facility		$444.73	$444.73	$449.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.28 / $444.73 / $541.87	Professional		$393.28	$444.73	$541.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $843.24 / $843.24 / $895.52	Facility		$843.24	$843.24	$895.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $510.00 / $637.54	Professional		$510.00	$510.00	$637.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $470.75 / $472.56 / $576.44	Professional		$470.75	$472.56	$576.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.15 / $501.15 / $501.15	Facility		$501.15	$501.15	$501.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.84 / $365.84 / $501.15	Professional		$365.84	$365.84	$501.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $590.27 / $758.92 / $1,011.89	Professional		$590.27	$758.92	$1,011.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $258.31 / $518.62 / $946.13	Facility		$258.31	$518.62	$946.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $477.00 / $1,107.59 / $1,404.57	Professional		$477.00	$1,107.59	$1,404.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $461.99 / $639.29 / $1,055.86	Facility		$461.99	$639.29	$1,055.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $461.99 / $638.29 / $1,055.86	Professional		$461.99	$638.29	$1,055.86
United Facility/Professional Professional Modifier Low / Median / High Price $392.08 / $420.68 / $633.71	Professional		$392.08	$420.68	$633.71