Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $630.96	Professional		$338.84	$398.11	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $812.83	Facility		$758.58	$758.58	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $954.99	Professional		$457.09	$457.09	$954.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $524.81	Professional		$398.11	$398.11	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $489.78 / $489.78	Facility		$316.23	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $489.78	Professional		$354.81	$354.81	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,071.52	Professional		$537.03	$758.58	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $758.58	Professional		$380.19	$501.19	$758.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $562.34 / $1,023.29	Facility		$323.59	$562.34	$1,023.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $501.19	Professional		$407.38	$467.74	$501.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $630.96 / $1,659.59	Facility		$407.38	$630.96	$1,659.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $1,659.59	Professional		$407.38	$630.96	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $562.34 / $1,023.29	Facility		$281.84	$562.34	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $371.54 / $575.44	Professional		$346.74	$371.54	$575.44