Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $724.44	Professional		$363.08	$446.68	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $912.01	Facility		$851.14	$851.14	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,071.52	Professional		$512.86	$512.86	$1,071.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $588.84	Professional		$467.74	$467.74	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $501.19 / $501.19	Facility		$398.11	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $501.19	Professional		$363.08	$363.08	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,202.26	Professional		$602.56	$851.14	$1,202.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $851.14	Professional		$436.52	$562.34	$851.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $616.60 / $1,047.13	Facility		$363.08	$616.60	$1,047.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $501.19 / $562.34	Professional		$457.09	$501.19	$562.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $707.95 / $1,862.09	Facility		$457.09	$707.95	$1,862.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,862.09	Professional		$457.09	$707.95	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $602.56 / $1,288.25	Facility		$302.00	$602.56	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $416.87 / $630.96	Professional		$389.05	$416.87	$630.96