Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.66 / $461.66 / $466.58	Facility		$461.66	$461.66	$466.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.23 / $461.66 / $525.74	Professional		$429.23	$461.66	$525.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.36 / $875.36 / $929.63	Facility		$875.36	$875.36	$929.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.32 / $532.32 / $688.45	Professional		$532.32	$532.32	$688.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $469.00 / $469.00 / $598.39	Professional		$469.00	$469.00	$598.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.94 / $612.94 / $612.94	Facility		$612.94	$612.94	$612.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $447.45 / $612.94	Professional		$447.45	$447.45	$612.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.75 / $787.82 / $1,050.43	Professional		$612.75	$787.82	$1,050.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.93 / $538.36 / $996.44	Facility		$281.93	$538.36	$996.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $492.00 / $1,149.79 / $1,458.07	Professional		$492.00	$1,149.79	$1,458.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $479.58 / $657.83 / $1,094.20	Facility		$479.58	$657.83	$1,094.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $479.58 / $657.83 / $1,094.20	Professional		$479.58	$657.83	$1,094.20
United Facility/Professional Facility Modifier Low / Median / High Price $329.75 / $577.08 / $657.98	Facility		$329.75	$577.08	$657.98
United Facility/Professional Professional Modifier Low / Median / High Price $406.77 / $436.70 / $672.95	Professional		$406.77	$436.70	$672.95