Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $461.36 / $466.27	Facility		$461.36	$461.36	$466.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.19 / $461.36 / $525.40	Professional		$460.19	$461.36	$525.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $874.78 / $874.78 / $929.02	Facility		$874.78	$874.78	$929.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.42 / $534.42 / $697.25	Professional		$534.42	$534.42	$697.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $469.00 / $490.23 / $598.00	Professional		$469.00	$490.23	$598.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $673.11 / $673.11	Facility		$673.11	$673.11	$673.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $491.37 / $673.11	Professional		$491.37	$491.37	$673.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.35 / $787.30 / $1,049.74	Professional		$612.35	$787.30	$1,049.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.75 / $554.86 / $995.77	Facility		$281.75	$554.86	$995.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $492.00 / $1,149.03 / $1,457.10	Professional		$492.00	$1,149.03	$1,457.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $479.27 / $660.19 / $1,093.48	Facility		$479.27	$660.19	$1,093.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $479.27 / $660.19 / $1,093.48	Professional		$479.27	$660.19	$1,093.48
United Facility/Professional Professional Modifier Low / Median / High Price $403.51 / $436.42 / $672.51	Professional		$403.51	$436.42	$672.51